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FORM AUTRE + Nama GapostanPotan 2. Nama Kata PokiantGapoktan 3 Aernat 4 Nomar HE Kata 5 Jamia aon Laan Ha) 6 Manin Taran 7 Petersen Tana {Ti Koorsinat Desa Pesta © Metode Tana O istiso FORMULIR PENDAFTARAN PESERTA ASURANS! USAHA TANI PADI (AUTP) Werge Moka Sure Kp. Urug Tonggoh RT 03 ROL eses4729105 25.00 wr ‘Tangost 20 Ban September Tahun 2023 L(Desimaty -Soresz740Ko00471 8 (Desi) 108 5084850253200 Sere etua Gapuatan/Pcktan ferebut 3 win, menyatakan Barwa nama anggota yang Vera pase Tabel d bev it saat parcaftaran bela ‘mengaiam serangan gage! panen, mendafa sebege peveta AUTP dan tela hams ventas hebanaran Gata Gan laran yang caftarkan faaorse-1s0ser-| 030 loon zorss-eocear-| 050 Joon faaoiss21o7es | o«0 foo0% Tass [oman] denis Laken | Jomiah Prom! Kecamatan Dees Nama Anggota nx aman | Peeak |) | Swadaya (Re) a)_| Alani fit a fem fonseaestom | +p ranee - ama on — paw ha Seema aw | ream} eae = ae = he poms em a 2) as ream Femacea (Gea cecal Mea = aon iow bcos sem] oe] + [amma | aR = aoe eerie i Eee 7 mom = Emma |e [a |e = ee ror paar oe | se |e = a pao = aman Treen | ae ae race fast 5 [rennet po = masrear| Saas a ae be area eae =f Taare | aa = fone are | | He oe Se Tagan hgan 72080 | ry PE aia a = pom Tea aor | 7a os Santee Sms 7 ae a femere 8} 8} 8] 5] 8] 8] s] oe] 6 Le tas Tenis Laken | Jomlah Premi Kecamatan Dose ame Anggote rx | aban [Petan | 7 | Swectnye me) ‘ay | Aim ooo a 7 laa fszorssaoarea | ox | ® | Tedanmaen | 1080000 loooa 7 (Whang vamtas |scovse sonar | oa | 11 | Teamnnamn | 1440000 loozr = co a fsonscsti7e| om | 5 | Teannam | 720000 foone = 9 le essere em | = 7200.00 loos ry loa jseionner [ome |S | Taannen | Tamme Jooo3 Jovss Ove han remem ems [= [annem | manor a] 8] «| 4] a] & HHH yy yy S Tangont 14, Bulan Agustin, Tatu 2023, Panyu

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