P. 1
Domisili

Domisili

|Views: 695|Likes:
Published by adibuyono

More info:

Published by: adibuyono on Feb 29, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

10/03/2013

pdf

text

original

Lamp : 1 (satu) lembar

Hal : Permohonan Izin Domisili
Usaha/Perusahaan
Kepada Yth.
Bapak/Ibu Lurah/Camat
di -
B a t a m
-Yang bertandatangan di bawah ini :
Nama : ...................................................................................
Jabatan : ...................................................................................
Alamat : ...................................................................................
K!. N". : ...................................................................................
-#engan ini $ami menga%u$an perm"h"nan $epada Bapa$&'bu untu$ menerbit$an
#"misili !erusahaan (ang a$an disebut di bawah ini :
Nama : ...................................................................................
Alamat : ...................................................................................
Kelurahan&#esa : ...................................................................................
Ke)amatan : ...................................................................................
K"ta : ...................................................................................
Bidang *saha : ...................................................................................
-#emi$ian surat !erm"h"nan ini $ami buat+ agar dapat diperguna$an sebagaimana
perlun(a.
Batam+
!em"h"n
,,,,,,,,,,,,,,,,,,,,,

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->