ALNASZ_ CONFIRM PAYMENT
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REG. NO (INVOICE) *
NAME *
BANK TRANSFERED *
Choose one (Pilih Salah Satu)
Required
BANK ACCOUNT NAME *
nama pemilik rekening yang dipakai untuk transfer
BANK ACCOUNT NUMBER *
nomor rekening bank yang dipakai untuk transfer
DATE OF PAYMENT *
ex : 31/01/2012
AMOUNT OF PAYMENT *
ex : 150000
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