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    1. The document appoints Nelfianti as the legal representative or heir's proxy for Maryulis in matters regarding the return of hajj pilgrimage initial deposits. 2. Dahleni and Rinari Amelia, signing as heirs, grant the power of attorney to Nelfianti. 3. The document provides Nelfianti's identification and address as the appointed legal proxy.

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    1. The document appoints Nelfianti as the legal representative or heir's proxy for Maryulis in matters regarding the return of hajj pilgrimage initial deposits. 2. Dahleni and Rinari Amelia, signing as heirs, grant the power of attorney to Nelfianti. 3. The document provides Nelfianti's identification and address as the appointed legal proxy.

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    39 views4 pages

    12

    Uploaded by

    rubi sandy
    1. The document appoints Nelfianti as the legal representative or heir's proxy for Maryulis in matters regarding the return of hajj pilgrimage initial deposits. 2. Dahleni and Rinari Amelia, signing as heirs, grant the power of attorney to Nelfianti. 3. The document provides Nelfianti's identification and address as the appointed legal proxy.

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    of 4

    SURAT PENUNJUKAN KUASA WARIS

    Kami ahli waris dari :


    Nama
    : MARYULIS : Padang, 09-09-1949 : Kampung Jambak
    RT. 03 RW. 19 No. 15 Kel. Batipuh Panjang Kec. Koto
    Tangah Kota Padang
    Tempat/Tanggal lahir
    Alamat

    Menunjuk:
    NELFIANTI Padang,
    14-05-1968

    Nama

    Lb. Buaya RT. 02 RW. 02 No. 50 Kel. Lubuk Buaya

    Kec. Koto Tangah Kota Padang


    Tempat/Tanggal lahir
    Alamat
    sebagai kuasa waris dalam hali ini pengembalian setoran awal jammah
    haji dari MARYULIS yang memberi kuasa.

    1. DAHLENI
    SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK KUASA WARIS

    2. RINARI AMELIA

    Yang memberi kuasa

    NELFIANTI
    SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK KUASA WARIS

    Saya yang bertanda tanggan dibawah ini:

    Nama : RANI YARNITA

    Tempat/Tanggal lahir : Padang, 11 -08-1989

    Alamat : Jl.Beringin 1 A No.2 B rt.001 rw.004

    Kel.Lolong Belanti Kec.Padang Utara Sumatera Barat

    Menyatakan bertanggung jawab sebagai kuasa waris/ahli waris dari:


    Nama : ERITA

    Tempat/Tanggal lahir : Padang,02-12-1954


    SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK KUASA WARIS

    Alamat : Jl.Beringin 1 A No.2 B rt.001 rw.004

    Kel.Lolong Belanti Kec.Padang Utara Sumatera Barat

    Yang berhubungan dengan pengambilan dana setoran awal calon jamaah haji yang bersangkutan.
    Demikian surat pernyataan ini dibuat untuk dipergunakan seperlunya.

    Penerima Kuasa

    RANI YARNITA

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