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STATEMENT LETTER

No.___________

I, the undersigned below

Name :
Date of Birth :
Address :
ID Card No :

acting in my capacity as Director of _____________ (hereinafter referred as “_____”), hereby states that
_____ is the legitimate owner of the brand “____________” in the Republic of Indonesia.

Thus this statement is made and to be used accordingly.

Bandung, May __, 2018


PT. __________________

____________
Director

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