Form SURAT PERNYATAAN CETAK KTM

 

ZUXMV PEXBCDCNMN JEVML LMXVU VMNFM BMDMZIZ_M

Pmfm Pm fm

dmri dmri

inii in

Vmno Vmnoom omaa

.. .... .... .... .. Huam Huamn n .. .... .... .... .... .... .... .... ..

Vmdu Vmdun n .. .... .... .... ..

Zmym Zmym

ymno ymno

hertmnfm tmnomn fihmwmd ini ;

Nmbm

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NPB

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Kurusmn

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Mambmt

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Hersmbm surmt ini lmbi herbmlsuf benomkulmn perbcdcnmn jetml Lmrtu Vmnfm Bmdm Bm dmsi sisw swm m (LVB (LVB)) In Inst stit itut ut Ingc Ingcrb rbmt mtil ilm m & Hi Hisn snis is Fmrbm Fmrbmkm kmym ym feno fenomn mn ma mams msmn mn sehmomi herilut ; ** Heaub Pernmd Jetml ** Diamno / Xusml ** Vifml fiterhitlmn lebhmai caed pidml penerhit LVB IIH Fmrbmkmym ** Aminnym

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Febilimn Zurmt pernymtmmn ini, pernymtmmn ini, teamd fihmjm, fibenoerti fmn fiteribm tmnpm mfm pmlsmmn fmri pidml bmnmpun. Hmnfmr Ambpuno, .......,............,...... Dcrbmt Zmym,

( NPB. ** Piaid smamd smtu mamsmn

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