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Click ‘Get Form’ to open it in the editor.
Begin by entering your credit card number in the 'INFORMASI KARTU KREDIT' section. Ensure accuracy as this is crucial for processing your request.
In the 'INFORMASI PRIBADI' section, fill in your full name as per your ID, along with your NPWP and identification number (KTP/SIM/Paspor). Don’t forget to provide your home address, including RT, RW, and zip code.
Next, complete the 'INFORMASI PEKERJAAN' section with your company name and office address. Make sure to include the area code for your office phone number.
In the 'INFORMASI KEUANGAN' section, input your BNI savings account number. Attach any required documents such as proof of income or tax payment slips.
Indicate whether you agree to receive e-billing by selecting 'Ya' or 'Tidak'. This will determine how you receive billing information.
Finally, sign in the designated areas using a black pen. Ensure that your signature does not exceed the lines provided.
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