FORMULIR INFORMASI DAN KONSULTASI
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NAMA LENGKAP PEMILIK USAHA *
ALAMAT *
NIK *
NAMA USAHA *
BIDANG USAHA *
JENIS USAHA *
ALAMAT USAHA *
NOMOR SKU *
NOMOR IUMK/NIB/SIUP
JUMLAH ASET *
MODAL *
JUMLAH TENAGA KERJA *
NOMOR HANDPONE / WA *
NAMA KELOMPOK USAHA/KUBE/UB
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