Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

KOP

LEMBAGA

PROFIL
DTA . . . . . . . . . . . . . . . . . ..
IDENTITAS LEMBAGA
1. Nama Lembaga :..................................
2. Alamat :..................................
3. Kelurahan :..................................
4. Kecamatan :..................................
5. Kabupaten :..................................
6. Provinsi :..................................
7. Telepon/Hp :..................................
8. E-mail :..................................
9. Website :..................................
10. NPWP :..................................
11. Tahun didirikan :..................................
12. Tahun beroperasi :..................................
13. Status tanah :..................................
14. Status bangunan :..................................
15. Nama Pimpinan :..................................

Cibinong, Juli 2018


Pimpinan DTA
Mengetahui,
Kepala KUA Kec. Cibinong

__________________________ __________________________

You might also like