130 FORM Pengambilan - Pengeluaran APD

 

T\ Lmrcgeg Tmrkgsgprgtgcg 

NF_C TMHEGCOBAGH LGH TMHEMA]G_GH GTL (ZGNM\R MW]BTCMH\ _MJMB^BHE NF_C)

\gheega/ Lgtm 9 ……/……/?44…

LTT-N-ZGN-477 LTT-N-ZG N-477 (_mv.444)

Zgyg yghe omrtghlg tghegh lb ogwg` bhb/ \`m uhlmr sbehml 9 Hgcg Hgcm

9 …………………………..

Igogtgh Fjjupgtbfh

9 ………………..

Lmpt/ Ogebgh Lmpt/ Zmjtbfh

9 …………………

\mag` cmhmrbcg gagt kmamhekgpgh kmrig/ @gvm rmjmbvml t`m nfaafwbhe sgnmty mqubpcmht 9 7. Zgnmty Z`fms *) hf….

. Zgnmty Ofgt *)

2. _fcpbhmt *)

- Kmjugab igs `uigh, cgkg sgyg gkgh smagau cmcgkgb gagt tmrsmout smagcg sgyg omkmrig/ omrglg lb tmcpgt kmrig (Mxpmjpt _gbhjfgt, B wbaa gawgys wmgr t`bs mqubpcmht w`bam wfrkbhe ghl fr Ufrkpagjm) - Zgyg gkgh CMHIGEG CMHIGEG lgh  lgh CM_GUG\ CM_GUG\ gagt  gagt tmrsmout lmhegh ZMOGBK-OGBKHRG ZMOGBK-OGBKHRG smrtg  smrtg OM_ZMLBG CMHEEGH\B obag rusgk / `baghe, Gkbogt kmagagbgh gtgupuh kmamheg`gh sgyg (B Ubaa KMMT  ghl CMHEEGH\B obag  ghl CGBH\GBH   t`bs mqbpcmht GZ mqbpcmht GZ UMAA GZ GZ TFZZBOA TFZZBOAM  M  ghl  ghl UBAABHE   tf tf Z]OZ\B\]\M  nfr  nfr lgcgem fr afss lum tf cy hmeabemhjm

Lbkmtg`ub

Lbsmtuiub

Bssuml oy

Gpprfvml oy

Lbtmrbcg fam` _mjmbvml oy

 

  (……………………....) @mgl fn Lmpgrtmcmht/ Zmjtbfh) 7) Nbam @ZM Lmpt ?) Nbam Lmpt

(………………….) @ZM

(……………………....) Kgrygwgh Ros Hftm9 *) Jfrmt yghe tblgk pmrau