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Form Registrasi UMKM Binaan Rumah BUMN Lampung Tengah
Dengan mengisi Form berikut ini, saya bersedia memberikan data usaha saya dan mendaftar menjadi UMKM Binaan Rumah BUMN Lampung Tengah
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Nama Lengkap
*
Your answer
Nama Usaha/Nama Toko
*
Your answer
No. KTP
*
Your answer
No. NPWP
Your answer
Nomor Handphone (WA)
*
Your answer
Alamat
*
Your answer
Kelurahan
*
Your answer
Kecamatan
*
Your answer
Kabupaten/Kota
*
Your answer
Provinsi
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Jenis Usaha
*
Makanan dan Minuman
Perdagangan
Craft / Kerajinan
Fashion / Busana
Jasa
Perkebunan
Pertanian
Peternakan
Other:
Omset Usaha Per Tahun
Your answer
Deskripsi Usaha
*
Your answer
Pernah Mengikuti Pameran ? (Contoh : Pameran Produk UMKM Lokal)
*
Ya
Tidak
Nama Pameran dan Tahun Pelaksanaan
Your answer
Nama Social Media (Instagram)
Your answer
Nama Social Media (Facebook)
Your answer
Akun Marketplace
Your answer
Website
Your answer
Punya Komunitas UMKM?
Ya
Tidak
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