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FORM PERMOHONAN
Pembelian Emas Secara Angsuran
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NAMA
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ALAMAT
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NO HANDPHONE
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LOKASI KERJA
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STATUS KEPEGAWAIAN
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NOMOR ANGGOTA
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JENIS ANGGOTA
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Anggota Biasa = Pensiunan Telkom ; Anggota Luar Biasa = Karyawan KPPTEL (Umum)
ANGGOTA BIASA
ANGGOTA LUAR BIASA
MASA KERJA
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SISA PINJAMAN
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KEPERLUAN
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JUMLAH (VOLUME)
Sebutkan Jumlah Berat atau Volume
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