PERMOHONAN PINJAMAN
No : /BUMDes_SS/VII/2018
Nama : .............................................................................
NIK : .............................................................................
Tempat, tanggal lahir : .............................................................................
Jenis kelamin : .............................................................................
Pekerjaan : .............................................................................
Alamat : .............................................................................
AHLI WARIS
Nama : .............................................................................
NIK : .............................................................................
Tempat, tanggal lahir : .............................................................................
Jenis kelamin : .............................................................................
Pekerjaan : .............................................................................
Alamat : .............................................................................
Status : ( Istri / Suami / Anak )*
Dengan ini mengajukan permohonan pinjaman dana ........................... sebesar Rp. ............................
untuk keperluan ......................................................................................................................................
.................................................................................................................................................................
dengan angunan berupa ........................................................................................................................................
...............................................................................................................................................................................
Demikian permohonan pinjaman ini saya buat agar dapat dipertimbangkan untuk diberikan pinjaman.
Boak, ..........................................
Peminjam
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