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BiznetGIO

Cloud
Registration Form

Company Name PT. Hasrat Tata Jaya


Address Jln. Soekarno Hatta No.103 B , Pekanbaru - Riau

Phone Number 08115729994


NPWP 01.116.641.0-218.000

Contact Billing Contact Technical


Name Adinata Adinata
Phone 08115729994 08115729994
Mobile 081275279561 081275279561
Email address adijunior1991@gmail.com

Notes
-

Signature and Company Stamp Print Name

Adinata,S.kom
Date
04-07-2016

Sales Manager Inside Sales TSC

Date

We hereby confirm that the information above is true and agree to be bound by BiznetGio Terms and Conditions.
BiznetGIO has the right to refuse this application without any explanation
BiznetGIO Terms and Conditions may change at anytime without prior notice

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