SURAT KUASA
Yang bertanda tangan dibawah ini,
Nama :
Pekerjaan :
Alamat :
Dengan ini memberikan kuasa kepada
Nama :
Pekerjaan :
Alamat :
Perihal :
Surat kuasa ini dibuat karena saya sedang _________. Demikian surat kuasa ini dibuat dengan sesungguhnya dan
dapat dipergunakan sebagaimana mestinya.
Jakarta, 23 Januari 2017
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Yang memberi kuasa
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