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FORMULIR PINJAMAN UANG
Ksp. Dana Usaha Sejahtera
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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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