Form Dismantle

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Komp.

Perkantoran Tanjung Mas blok B1/5

Jl. Tanjung Barat Raya, Jakarta Selatan 12530 CUSTOMER DISMISSAL FORM

Note Please provide detailed information so we can provision


Mohon diisi dengan informasi lengkap agar kami cepat memproses

Nama : Erki Herdian Alamat : Jl. KS Tubun Petamburan VI, Jakarta Pusat

Non-Technical Issues Alasan Non-Teknis Termination Reason Alasan Berhenti

Cheaper Tariff Harga Lebih Murah Move to other Provider with reason
Provider Name Nama Provicer
More Complete and Suitable Features
Fitur Lebih Lengkap dan Sesuai Kebutuhan Closing Business with Reason
Inacurrate/Late Billing Statement Berhenti/Tutup usaha dengan alasan
Tagihan tidak akurat/sering terlambat
Complaints Were Not Responded Well Move to Other Location Pindah Lokasi


Tanggapan Atas Keluhan Tidak Memuaskan
Fibernet Officers Visit Was Very Rately Project is Finished Project sudah selesi
Petugas Fibernet Jarang Mengunjungi
Fibernet Officers Shows Impolite Manner Technical Issue Alasan Teknis
Petugas Fibernet Tidak Sopan Dalam Melayani Slow Access Speed Akses Lambat

Confirmation Data Data Konfirmasi Unstable Connection Koneksi Sering Putus


Account Manager
Unresponsive Technical Support Dukungan Teknis Tidak Responsif

Confirmation Date Tanggal Konfirmasi Additional Description Keterangan Tambahan

Alasan Dismantle :
Termination Date Target Waktu Berhenti

Signature Tanda tangan

Group Head Of Sales Account Manager Subcribed Pelanggan


Tanggal/Date Tanggal/Date Tanggal/Date

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