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formulir pendaftaran/pendaftaran ulang anggota ... - Kadin Indonesia

formulir pendaftaran/pendaftaran ulang anggota ... - Kadin Indonesia

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Lampiran 2<br />

PP-ALB <strong>Kadin</strong><br />

FORMULIR PENDAFTARAN/PENDAFTARAN ULANG<br />

ANGGOTA LUAR BIASA KAMAR DAGANG DAN INDUSTRI<br />

Nama Asosiasi/Himpunan:........................................................................................................................................<br />

Tingkat Nasional Tingkat Provinsi Tingkat Kabupaten/Kota<br />

Alamat:.......................................................................................................................................................................<br />

...................................................................................................................................................................................<br />

...................................................................................................................................................................................<br />

............................................................................................................................. Kode Pos:<br />

Tel:....................................................................................... Fax:.............................................................................<br />

e-mail:.................................................................................. website:.......................................................................<br />

Jenis Usaha/Mata Dagangan/Jasa yang dicakup Asosiasi atau Aspirasi Himpunan:.................................................<br />

.....................................................................................................................................................................................<br />

.....................................................................................................................................................................................<br />

.....................................................................................................................................................................................<br />

Saat ini <strong>Kadin</strong> <strong>Indonesia</strong> menyediakan layanan tambahan bagi Anggota Luar Biasa <strong>Kadin</strong> <strong>Indonesia</strong>. Adapun<br />

fasilitas tambahan tersebut<br />

dengan mengisi Formulir Pendaftaran/Pendaftaran Ulang ini, kami menyatakan akan mematuhi ketentuan<br />

Undang-Undang Nomor 1 Tahun 1987 tentang <strong>Kadin</strong>, AD-ART <strong>Kadin</strong> dan peraturan organisasi <strong>Kadin</strong> lainnya.<br />

........................................., .................................................., 20<br />

...................................................................<br />

.....................................................<br />

Ketua Umum/Ketua<br />

-------------------------------------------------------------------------------------------------------------------------------------------------------<br />

Ruang di bawah ini diisi oleh <strong>Kadin</strong> <strong>Indonesia</strong>/<strong>Kadin</strong>da Provinsi/Kabupaten/Kota *)


Organisasi yang bersangkutan berdasarkan<br />

Keputusan Dewan Pengurus <strong>Kadin</strong> <strong>Indonesia</strong>/<strong>Kadin</strong>da Provinsi/<strong>Kadin</strong>da Kabupaten/Kota<br />

........................................................................................<br />

Nomor Keputusan:<br />

................................................................................................................<br />

diterima menjadi Anggota Luar Biasa pada <strong>Kadin</strong> <strong>Indonesia</strong>/<strong>Kadin</strong>da Provinsi/Kabupaten/Kota *)<br />

....................................................................................<br />

dengan nomor ALB:<br />

.........................................................................................................<br />

........................................, ................................, 20<br />

*) Coret yang tidak perlu<br />

ALB-Formulir Pendaftaran<br />

(......................................................................................................)<br />

Ketua Umum/Ketua

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