05.06.2013 Views

keputusan menteri kesehatan republik indonesia ... - Digilib AMPL

keputusan menteri kesehatan republik indonesia ... - Digilib AMPL

keputusan menteri kesehatan republik indonesia ... - Digilib AMPL

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

No<br />

2. REGISTRASI PENDATAAN JASABOGA<br />

Tanggal<br />

Nama<br />

Jasaboga<br />

KABUPATEN/KOTA …………………<br />

Nama<br />

Pengusaha<br />

Alamat<br />

Jasaboga<br />

a<br />

Jumlah<br />

Karyawan<br />

Luas<br />

Dapur<br />

(M²)<br />

Kapasit<br />

as<br />

Sajian<br />

Golo<br />

ngan<br />

Nomor<br />

Tanda<br />

Terdata<br />

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)<br />

88<br />

Ket.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!