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Formulir Pendaftaran peningkatan kapasitas, pembinaan Penyedia/Pelaku Usaha, pelatihan Aplikasi SPSE Versi 4.3 dan SIKaP di Lingkup Pemerintah Kabupaten Bangka
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Nama Lengkap
*
Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-Laki
Perempuan
Nomor Telephone / Handphone
*
Your answer
Nomor WhatsApp
*
Your answer
Email
*
Your answer
Jenis Penyedia
*
Perorangan
Badan Usaha
Nama Badan Usaha / Perorangan
*
Your answer
Jabatan dalam perusahaan
*
Owner (Pemilik)
Direktur
Staf
Other:
Alamat Kantor
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Your answer
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