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FORMULIR PENDATAAN

RUKO / KIOS / LAPAK


DI KAWASAN PERTOKOAN CIBINONG

1. Tanggal Pendataan :
2. Nama Pemilik / Penyewa :
3. Nomor Ruko / Kios / Lapak :
4. Tanggal Kepemilikan / Sewa :
5. Jenis Usaha :
6. Saran / Usulan / Catatan
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PT. Subur Graha Asri Cibinong, ………………….. 2019


Petugas Pendata Pemilik / Penyewa

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Catatan :

1. Photo Copy KTP


2. Photo Copy Bukti Kepemilikan / Sewa

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