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SURAT KUASA

Yang bertanda tangan di bawah ini


Nama : .....................................................................................................
Pekerjaan : .....................................................................................................
Alamat : .....................................................................................................
.....................................................................................................
No Telp/HP : .....................................................................................................

Memberikan Kuasa Kepada


Nama : .....................................................................................................
Pekerjaan : .....................................................................................................
Alamat : .....................................................................................................
.....................................................................................................
No Telp/HP : .....................................................................................................

Untuk mengurus Surat Tanda Nomor Kendaraan Bermotor (STNKB)


NO POL : .....................................................................................................

Demikian Surat Kuasa ini Dibuat untuk digunakan Seperlunya

Tuban, ………………..
Yang Diberi Kuasa Yang Memberi Kuasa

………………………. ……………………….

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