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FORM PENGAJUAN PINJAMAN KOPERASI (PERORANGAN)
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NAMA
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Your answer
NOMOR KTP/ NIK
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NOMOR HP
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Your answer
NOMOR REKENING BANK JATENG (ATAS NAMA PRIBADI)
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Your answer
STATUS (isi: PENSIUNAN/ PNS/ PPPK/ CPNS)
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PENSIUNAN
PNS
PPPK
CPNS
JUMLAH PINJAM (Maksimal Rp 100 juta untuk PNS & PPPK, Rp 75 juta untuk CPNS, memperhatikan gaji yang dapat dipotong)
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JANGKA WAKTU PINJAM (isi dengan jumlah bulan pinjaman, misal 12 bulan ditulis 12). Maksimal jangka waktu 48 bulan
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GOLONGAN
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