INFORMASI UMUM PELAKU USAHA

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INFORMASI UMUM PELAKU USAHA

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* Indicates required question

MEREK PRODUK / NAMA BRAND *

Your answer

JENIS PRODUK UKM *

Your answer

BENTUK BADAN USAHA *

PERORANGAN

UD

CV

PT

Other:

IJIN USAHA YANG DIMILIKI *

NIB

HALAL

BPOM

PIRT

Other:

Required

ALAMAT USAHA *

Your answer

KABUPATEN / KOTA *

Kota Banjarmasin

Kota Banjarbaru

Kab. Barito Kuala

Kab. Banjar

Kab. Tanah Laut

Kab. Tanah Bumbu

Kab. Kotabar

Kab. Tapin

Kab. HSS

Kab. HST

Kab. HSU

Kab. Balangan

Kab. Tabalong

ALAMAT EMAIL *

Your answer

NAMA PEMILIK USAHA *

Your answer

NOMOR KONTAK PELAKU USAHA (WA/TELP) *

Your answer

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