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SURAT KUASA MUTASI

Yang bertanda tangan di bawah ini :


Nama

: [...........................................................................................................]

Jabatan

: [...........................................................................................................]

Alamat

: [............................................................................................................
............................................................................................................]

Dengan ini memberikan kuasa kepada .......................................................] di bawah ini:


Nama

: [...........................................................................................................]

Jabatan

: [...........................................................................................................]

Alamat

: [............................................................................................................
............................................................................................................]

Untuk mengurus proses [.................................................................] dalam


[............................................................................................................................
.................................................................................................................................]
Demikian Surat Kuasa ini kami buat, untuk dipergunakan sebagaimana mestinya.
[nama kota] [tanggal, bulan, tahun]
Pemberi Kuasa

Penerima Kuasa

(.......................)

(.......................)

hal

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