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    YesichaPrasetianingtyas
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    7 views2 pages

    Form Minor

    Uploaded by

    YesichaPrasetianingtyas

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 2
    ‘Tue manors say, yang beta targan bow i: = ‘Nama Pemeeang Pols esti ns [se nto a i off Fea [fe fe fe ‘Nomor Polis fittiti tity etepon cams = [TTT] - Nomor H+ COP T TT) teenies? ED E)- ASE) = ‘Saji unt mengautan prutohan sa pos say ats stag bet Prubahan Asma surat Monyrat /e-mai/ No, Tlpon/No, aks menah “brat sat menjt yng ban Emailyang tary a Ka we set torespancr nang ah oe dl ut rok (em harp itinkan rasan) Jean Pe No. Tel Kantor yang brs (IT - ae gy No. Fox yonbary Co) - Cae FA eestitamaaee Lorevessreteis [Jreranesnevima _[Tteraneeineramtatont _[Jferangenetantston2 [peers tava soma am a san rs LOCC eee eee re) Devgan in sea estan hws as jg hol afl erarg a a i lan aa Boe aa eS ED tevtanem mass Cremesiratats Jreranenngveme | fTrerarssxaramtstant [Jietaneeetansshan2 [ponerse somata C7 ae eet Late TC sama ae esa | rnonre setiere AT: Chrenienteet Tong arama Ce CT Tieton val airy ~ EE EE Hest (E)tetatesratnonieninyrn oat Feu as Chia seusron Toh etran Coatna ‘aye menvatatonBohwa sey eh mec, meahom dan menjetl slash poreyaraan da latte Prubahan Pov Minor ang teres al om peng Tare Pegsian a ae Tones Tangan Peregang ol, gan/C5 Rd Kantor bons, sea hrwsetas ae) Pixoses leh jes Powe TUG WANDA Wie Tg ae Sh 424 5, ain Sahn art 20 ep, 2 RP DET Persyretan/Dohumen Umum Yong Hans Osraan anor Puss: 1 forma Peruahan Po ior A 2. Fotohopitarttdenar dri) Pemeeang Pole yraecaks 5. Fema Perth Tends Terganepaia ad peruhan ards organ Pemezng Pas otra Unum 2 Polidlam satus kt inforee) 2 Fergsjan Feat al lor yng soci ante spa tai kemba Pesyeratan/Dokumen da Ketentune Khas 1 Perubehan Anata Wo Telepone Fls etentvan usyratn /Dotrmen Yong Hara Duerahtan Ke Kotor Pus “sada ketene Whsue “ahaa pesjaratn thus, etetuon Poryeretan/Ootumen Yang Har ierahon Ke Keto Post Fores rams berihanurtkerang yang Toto ar Wertiae det aaah (au kong a2 shun) Fea Nama etext ergeratn /Oahuren Yang Hara iran Ka Kantor Pusat Peabohon nama eraky haya untuk feng ang 32 Foto! aru eres ut pmiramayag ube, yng menantmian ram rgtabh utah Foote! it /peetapan gatas yar Skeukn och paneadon “person Fanaa Gh Ketertuon: Paeyarsan /Dotmen Yang Hane sakes Ka Kantor Pasa Salish bias aur arn perbedsan us Ternggung, tan Tea ds pergestn at

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