Retiance
Ute Racers... |
Mes ele
SURAT PERNYATAAL
Nam WubAuuso EFENOT
No. KP S114 1°14 [oe ]ols [elo [oTOTOTt | tsen [Uf [Joanie
ans at ABD. baat Nog
venre [Bt [els[2|
No. TeenondFats1® ole |afi Jalst [41313 [gt
Terpst Stngnl une; FUGUE PANOZEG wari [O[6] (ols! [LIslelel
seus pain a prcxsosta
ers PHS Borat Badan [ GOK (53 cn
ndah Poyaman (sng Pertangpingn Ava ~Tetap)
3unlahPnjoman (Lang Perarggungan Ava - Manurun) 70. 6a - 000
[BO Pun Suku Bunge Pajaman
sé
Singha Wakes Perunjamen (Maza Pertenggungan) F
aca Aswan Tao7z
Ye Tae
1 GRR
72 [iatah Raa Peal mendapaian paranatn @ fora Sot alan warts 2 (aun) arin tramh 3a Te
sie ope ? —
3 [oakah fda perah mendente et eau edhng dm peewan aay renpunve Touhor/pjao- ga eB}
tah sous ota lebin parva beriut st: Ouah tngp, Oxah Rerdeh, Janang, Sucka, TEC Pauper
Jcsnenven Gs, Epler, Disbetes,schma Het (ive) Kelamin, Karker, MV/AIOS? Jka "Ya" Panyaitepa?
re
sheer melt ibelum mercaar va 60 tahun?
[Roarah Anda perckok? Bila Vat berapa Betang SehaN? wR wrwnon Batanayrion e
7G Pipsah Pada ralruhan [pera aahikan Oahvapa vary Nenana tgp (manda guna, Tovar Gamal
cistroze bermter, manson, dl) ata) rieldkan perebawan selin sebazal pewumpang pesanal
omer yne betadws
7 [ee vata apa nda Ga Fetaay Pa THEA Beas Ban To Boe
2 iwayat [_Posh om enna
Ketvarga |e |_Kesshatan | iia Weregpal Sib Neningaal [fila Meinpal sak, soit spa?
Fram a ero us
tow $3, 2016 [Fatctop. ust]
‘airmarmres Sa AT VS RO TES TGP EBC OTT TTT TT ES
‘Seas teva yg data ans aite vngrernr karim any 29nd as
age ER gas I
‘ra edapat ess al yang degen ergs ask ena
mebstvan pron ite io mee do sk mera slam Moret Acs
2 Syanentercent ves lpats tte a, Rumah Sat Parca airing, Ie yngberwenang dan Oran tpn
parccnginurkmentanbterangn manera inayat eh ang Sper ch PT ASURANSL WA RELIANCEINDONESTA
3. Copy danza eancn bes ep davaen
4. Dengan anges anal 1212 Perdta maa pret kuna dc dpe deabultion di tp beau mestipan
Seyakam meno! ana Fas teu aon dit Feryatasn dn penberan uss amryalsevon hukun yrs ust nh
5 Sayanumberheniussa epa ps Bark it menbnkon copy Peanan Poa ep PT, ASURANSTTWARELIANCEINOONESTA
blnnarug dimension womens Si ma am
a a se :
|"Soeap
| 13-G-2022 >
-elyarer pry abajrkan dah era
‘roa Aare yang deovran lan merpaban pdb. ting sr ewopbayhengnyanig
rinpahen nan nb
Dipindi dengan Camscanes