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FORMULIR PENDIRIAN CV

I. Nama CV :

.......................................................

II. Pengurus :

Nama : Jabatan :

1. ........................................ ....................................
2. ........................................ ....................................
3. ........................................ ....................................
4. ........................................ ....................................

III. Modal :

Modal di SIUP : Rp ............................................

IV. Jenis Usaha

..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................

V. Alamat/Domisili :

..............................................................................................................................................

VI. No. Telp &/ Fax :

...................................................................................................

Persyaratan :
 Foto copy KTP pengurus CV (min 2 orang)
 Foto copy KK (kartu keluarga) & Copy NPWP Pribadi penanggung jawab CV
 Foto copy SPPT PBB + Bukti pembayaran (tahun terakhir), apabila tempat milik sendiri. Atau surat
perjanjian sewa/kontrak bila tempat usaha sewa/kontrak (bila sewa/kontrak di Gedung melampirkan surat keterangan
Domisili dari pengelola Gedung).

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