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 PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance

                                                                                   PENUTUPAN ASURANSI
                                                                                                    06.02.3:1


                                               PT Transpacific Finance
                       PT Transpacific Finance
 PT Transpacific Finance  PERMOHONAN ASURANSI MESIN/GEDUNG              PT Transpacific Finance  PT Transpacific Finance
               1. PERMOHONAN ASURANSI DEBITUR


 PT Transpacific Finance  Kepada:              PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance
                       PT Transpacific Finance

                   Asuransi …………………...….
                   …………………..…………………
                   …………………..…………………
                                                                        PT Transpacific Finance
                                               PT Transpacific Finance
                       PT Transpacific Finance
 PT Transpacific Finance  Bersama ini saya mengajukan permohonan penutupan asuransi:             PT Transpacific Finance

                   Nama Tertanggung      : …………………………………………………
                       PT Transpacific Finance
                                               PT Transpacific Finance
 PT Transpacific Finance  Alamat         : …………………………………………………          PT Transpacific Finance  PT Transpacific Finance
                   Objek yang diasuransikan
                   Jenis                 : …………………………………………………
 PT Transpacific Finance Merk            : …………………………………………………          PT Transpacific Finance  PT Transpacific Finance
                                         :
                       PT Transpacific Finance …………………………………………………
                                               PT Transpacific Finance
                   Type
                                         : …………………………………………………
                   Tahun
                   Nilai Pertanggungan   : Rp……………………………………………
                                               PT Transpacific Finance
 PT Transpacific Finance  Jenis pertanggungan  : …………………………………………………    PT Transpacific Finance  PT Transpacific Finance
                       PT Transpacific Finance

                   Periode pertanggungan : …………………… s/d ……………………

                       PT Transpacific Finance
 PT Transpacific Finance  Premi asuransi  : Rp ..………………………………………….      PT Transpacific Finance  PT Transpacific Finance
                                               PT Transpacific Finance


                                                                                    Diketahui:
                   Pemohon:                                                  PT TRANSPACIFIC
 PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance FINANCE
                                                                                                 PT Transpacific Finance





 PT Transpacific Finance  (…………………………………)      PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance
                       PT Transpacific Finance
                                                                             (…………………………………)




 PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance





                       PT Transpacific Finance
 PT Transpacific Finance  ASURANSI             PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance


                                                                                                 Maret 2022

 PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance  PT Transpacific Finance
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