FORMULIR PINJAMAN UANG
Ksp. Dana Usaha Sejahtera
Nama Lengkap *
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Nama Profile FB
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Alamat Tempat Tinggal *
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Kos atau Rumah Sendiri *
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No. HP. *
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Nominal Pinjaman *
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Jangka Waktu Pinjaman *
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Merk Motor atau Mobil Yang Dijaminkan *
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Tahun Motor atau Mobil *
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