Form APL01 - POPA

 

 

B[-ATE-41. BF[JWEM[ TG[JFNFHAH \G[SMBMIA\M IFJTGSGH\M Ka`mah 1 ? [mhlmah Cata Tgjfnfh \grtmbmiasm Taca ka`mah mhm, lahtujiah cata prmkacm, cata pghcmcmiah bfrjae sgrta cata pgigroaah ahca paca paca saat mhm. 

a. Cata Trmkacm Haja egh`iap

?

HMI

?

Sgjpat / t`e. eanmr 

?

Oghms igeajmh 

?

Igkah`saah 

?

Aeajat rujan 

?

Eaim-eaim / Pahmta *  

Ifcg pfs ? Hf. Sgegpfh/G-jame 

Tghcmcmiah Sgrainmr

?

[ujan ?

Iahtfr ? 

NT ?

G-jame ?

?

k. Cata Tgigroaah \giarah` Haja Egjka`a/ Tgrusanaah

?

Oakatah 

?

Aeajat 

?

Ifcg pfs ? Hf. Sgep/Bax/G-jame

?

Sgep ?

Bax ?

G-jame ?

IFJM\M  \G[SMBMIA\M E\T EAEMH\A  “ ;41=

BF[J ATE-41-;4 ATE-41-;41= 1= 

1

 

 

Ka`mah ; ? Cata \grtmbmiasm

Suemsiah Oucue cah Hfjfr \igja \grtmbmiasm, Suouah Asgsjgh sgrta Cabtar Whmt Ifjpgtghsm sgsuam igjasah paca sigja sgrtmbmiasm yah` ahca aouiah uhtui jghcapatiah pgh`aiuah sgsuam cgh`ah eatar kgeaiah` pghcmcmiah, pgeatmnah sgrta pgh`aeajah igroa yah` ahca jmemim.

\igja \grtmbmiasm

Oucue

?

TGHAH@@ TGHAH@@WH@ WH@ OAPAK FTG[A\MFHAE TGH@FEANAH AM[ EMJKAN

Hfjfr

?

\\-4>1>\\-4>1>-EE\-3.1 EE\-3.1 

Suouah Asgsjgh

?

\grtmbmiasm Weah` 

\grtmbmiasm

Cabtar Whmt Ifjpgtghsm? Oghms \tahcar (\tahcar Hf.

Ifcg Whmt

Oucue Whmt

Inusus/\tahcar Mhtgrhasmfhae/\IIHM)

1.

G.