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PEMERINTAH DESA NGEPEH
SURAT KETERANGAN USAHA TAHUN 2021
GUNAKAN HURUF KAPITAL
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NAMA LENGKAP
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NIK
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TEMPAT LAHIR
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TANGGAL LAHIR
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klik gambar tanggalan
MM
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DD
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Alamat
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rt/rw , dusun , desa, kecamatan, kabupaten
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Keperluan
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Jenis Usaha
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contoh: pracangan,meubel,polowijo dll
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tgl surat
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tanggal pengajuan surat
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DD
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Pemohon Surat
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bisa diwakili keluarga atau yang mencarikan
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NOMOR HP
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