KOPERASI ..................................................................
KAB. BEKASI
DATA KOPERASI
Nama Koperasi : Koperasi ....................................
No. Badan Hukum : ...............................................
Nomor Induk Koperasi (NIK) : ...............................................
Tanggal Berdiri : ...............................................
Alamat : ...............................................
...............................................
...............................................
No. Telp. : ...............................................
E-mail : ...............................................
Jumlah Anggota : ...............................................
Jumlah Pengurus : ...............................................
Jumlah Pengawas : ...............................................
Jumlah Karyawan : ...............................................
Jenis Usaha : 1. ...........................................
2. ...........................................
3. ...........................................
4. ...........................................
5. ...........................................
6. ...........................................
7. ...........................................
DATA PENGURUS :
Ketua : ...............................................
Alamat : ...............................................
...............................................
...............................................
No HP : ...............................................
Email : ...............................................
Sekertaris : ...............................................
Alamat : ...............................................
...............................................
...............................................
No HP : ...............................................
Email : ...............................................
Bendahara : ...............................................
Alamat : ...............................................
...............................................
...............................................
No Hp : ...............................................
Email : ...............................................
Bekasi, ..............................
Pengurus ......................
Ketua,
...............................