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Form Pendaftaran Tenant
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* Indicates required question
Nama Lengkap
*
Your answer
NPM/NIK
*
Your answer
Alamat Email
*
Your answer
Alamat Tempat Tinggal
*
Your answer
No. Handphone (WA) Yang Bisa Dihubungi
*
Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Calon Tenant Berasal Dari
*
Mahasiswa Universitas Widyatama
Alumni Universitas Widyatama
Karyawan
UMKM
Other:
Apakah Saudara/I Telah Memiliki Usaha?
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Sudah
Belum
Nama Usaha
*
Your answer
Jenis Usaha
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Your answer
Lama Berdirinya Usaha
*
Your answer
Deskripsi Singkat Usaha
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Your answer
Jumlah Karyawan/Tim
*
1-2 Orang
2-5 Orang
diatas 5 Orang
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