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LEGAL & COMPLIANCE DGS

Menara Multimedia Lt. 7,
Jl. Kebon Sirih No. 12 Jakarta Pusat

LEMBARAN CATATAN
(EXECUTIVE SUMMARY)

Kepada

JENIS DOKUMEN
Kontrak Berlangganan
Perjanjian Kerja Sama
MOU
Amandemen/Addendum/Side
Letter
Kontrak Layanan
Perjanjian Pengadaan

Perihal

: Yth. .......................................
Melalui Para Pejabat Pemeriksa (terlampir)
: ...........................................................................

Tanggal
Pengirim
Nomor Naskah

: ...................................................
: Mgr. Legal.................................
: Kontrak Nomor : ....................

Judul

: ................................................

CATATAN/NOTA TINDAKAN

Para Pihak

: TELKOM dengan ........................................................

Latar Belakang

: ...................................................................................

Materi / Ruang
lingkup Kontrak

: ..................................................................................

Disclaimer Clause :
Lembaran Catatan (executive summary) ini hanya merupakan ringkasan dari Kontrak Berlangganan/
Pengadaan dan bukan suatu rekomendasi dalam pengambilan keputusan.

Jakarta, ....................................
Mgr. Legal ...........................

...............................................
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Lembar Pemeriksaan
KONTRAK PENGADAAN
ANTARA
PT. TELEKOMUNIKASI INDONESIA, Tbk.
DENGAN
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tentang
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Nomor : .........................................................................

NO.
1.
2.
3.

PEMERIKSA
(Nama Jabatan)
.................................
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NAMA / NIK
..............................
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TANGGAL
TERIMA
KIRIM
.................... ....................
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TANDA
TANGAN
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CATATAN