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FORMAT PENGAJUAN KOMISI BROKER FORMAT PENGAJUAN KOMISI BROKER

TANGGAL : TANGGAL :
DATA KONSUMEN DATA KONSUMEN
NAMA : ............................................................................................ NAMA : ............................................................................................
ALAMAT : ............................................................................................ ALAMAT : ............................................................................................
NOMOR HP : ............................................................................................ NOMOR HP : ............................................................................................
PAKET DEPOT : ............................................................................................ PAKET DEPOT : ............................................................................................
HARGA PAKET : ............................................................................................ HARGA PAKET : ............................................................................................

DATA BROKER DATA BROKER


NAMA : ............................................................................................ NAMA : ............................................................................................
ALAMAT : ............................................................................................ ALAMAT : ............................................................................................
NOMOR HP : ............................................................................................ NOMOR HP : ............................................................................................
NOMINAL KOMISI : ............................................................................................ NOMINAL KOMISI : ............................................................................................
NO REKENING : ............................................................................................ NO REKENING : ............................................................................................

Yang Mengajukan Menyetujui Yang Mengajukan Menyetujui

(…………………….) (…………………………) (…………………….) (…………………………)

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