REGISTRASI CUSTOMER KREDIT

A. DATA CUSTOMER
1. NAMA :............................................................................ .....
2. BENTUK USAHA : CAFE / RESTORAN / HOTEL/ KAROEKE
3. ALAMAT LENGKAP :..................................................................................
....................................................................................
....................................................................................
4. FOTO OUTLET & GPS : (*lampirkan/bisa minta tolong driver/ sales yg
kelokasi)
5. NO. TELP/ HP / WA :..................................................................................
6. NPWP (*bila ada) :_________________________________________
B. DATA PEMILIK / PENANGGUNG JAWAB
1. NAMA :...................................................................................
2. ALAMAT LENGKAP :...................................................................................
....................................................................................
....................................................................................
3. JABATAN :...................................................................................
4. FOTO KTP :...................................................................................
5. NO. TELP/ HP /WA :...................................................................................
C. DATA FINANCE / ACCOUNTING / ADMIN AR
1. NAMA PIC :...................................................................................
2. ALAMAT PENAGIHAN :...................................................................................
....................................................................................
BLOK.......... LANTAI..........
3. NO. TELP/ HP / WA :...................................................................................
4. EMAIL :...................................................................................

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(ttd & nama jelas)