SURAT KUASA

Yang bertanda tangan dibawah ini :

Nama : ............................................................................................
Alamat : ............................................................................................
No. KTP / SIM : ............................................................................................
No. Telp / HP : ............................................................................................
Memberi kuasa kepada :
Nama : ..............................................................................................
Alamat : ..............................................................................................
No. KTP / SIM : ..............................................................................................
No. Telp / HP : ..............................................................................................

Secara khusus untuk mengambil / menerima BPKB berikut faktur yang menjadi jaminan pada
PT. Summit Oto Finance dengan data sebagai berikut :

Atas Nama BPKB / STNK

No. Polisi : ............................................................................................
No. Rangka : ............................................................................................
No. Mesin : ............................................................................................

Kendal, ................................................
Pemberi Kuasa Penerima Kuasa

(............................................) (............................................)
 SURAT PERNYATAAN IZIN KELUARGA

Yang bertanda tangan dibawah ini

Nama : ............................................................................................
Tempat / Tanggal Lahir............................................................................................:
Jenis Kelamin : ............................................................................................
Agama : ............................................................................................
Alamat : ............................................................................................
Kewarganegaraan : ............................................................................................
Status : ............................................................................................

Dengan ini saya menyatakan dengan Benar, Bahwa saya telah mengizinkan kepada Istri saya
untuk bekerja ke Malaysia yang bernama:
Nama : ..........................................................................................
Tempat / Tanggal Lahir :..........................................................................................
Jenis Kelamin : ..........................................................................................
Agama : ..........................................................................................
Alamat : ..........................................................................................
Kewarganegaraan : ..........................................................................................
Status : ..........................................................................................

Kendal, ................................................
Yang diberi izin Yang memberi izin

(............................................) (............................................)