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APPLICANT INFORMATION

Name of Organization :
Address :
Contact Person :

Spesifikasi

Category
No. (Wall, Floor, Standing, Brand Model Electrical Shock
Ceiling, etc) Protection
(Class I/II/III)

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FACTORY INFORMATION
Name of Organization :
Address :
Contact Person :

(Specification)
Tegangan Frekuensi Picture
Daya pengenal
Speed pengenal (Frequency)
(Rated Power) Motor Type
(rpm) (Rated
(W)
Voltage) (Volt) (Hz)

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