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SEMUA HARUS DIISI DENGAN LENGKAP & JELAS
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Email
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NAMA PENGUNDANG
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INFO KEANGGOTAAN
DATA DIRI
USER ID
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NAMA
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JENIS KELAMIN
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PRIA
WANITA
TEMPAT LAHIR
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TANGGAL LAHIR
(Tgl/Bulan/Tahun) Contoh : 20/10/2008
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NO KTP
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ALAMAT
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KOTA/ KABUPATEN
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PROVINSI
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KODE POS
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NO HP/ WHATSAPP
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EMAIL
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DATA BANK
NAMA PEMILIK REKENING
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NAMA BANK
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NO REKENING
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NAMA AHLI WARIS
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HUBUNGAN AHLI WARIS
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NO. TELP AHLI WARIS
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Silahkan dicentang
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Dengan mengisi Formulir di atas, saya mengetahui dan menyetujui dengan segala aturan kode etik yang berlaku di PT. Damai Eka Pratama Indonesia
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