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  • Surat Kuasa

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    Jevin Stivie Cialy
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    Surat Kuasa

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    Surat Kuasa

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    55 views1 page

    Surat Kuasa

    Uploaded by

    Jevin Stivie Cialy
    Surat Kuasa

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    SURAT KUASA

    Yang bertanda tangan dibawah ini:


    Nama
    Tempat Tanggal Lahir
    Alamat
    No. KTP

    :
    :
    :
    :

    Memberikan kuasa kepada


    Nama
    Alamat
    No.KTP

    :
    :
    :

    Untuk pengambilan Surat Tanda Registrasi (STR) Dokter Gigi dari Konsil Kedokteran
    Indonesia atas nama pemberi kuasa.
    Demikianlah Surat Kuasa ini saya buat untuk dipergunakan sebagaimana semestinya.

    Tanggal,
    Yang Memberikan Kuasa

    Yang Diberi Kuasa

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