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FORMULIR PENDAFTARAN

Lembaga Management. Institute. Fakultas Ekonomi Universitas Indonesia. FORMULIR PENDAFTARAN. BREVET A-B-C. Angkatan Ke-40. Mohon dicatat sebagai peserta Pendidikan Pajak “EXECUTIVE TAX PROGRAM; LMFEUI – TAF, Brevet A-B-C Angkatan Ke-40”. 1. Nama Peserta : ………………………………………………………………….

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FORMULIR PENDAFTARAN

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  1. Lembaga Management Institute Fakultas Ekonomi Universitas Indonesia FORMULIR PENDAFTARAN BREVET A-B-C Angkatan Ke-40 Mohon dicatat sebagai peserta Pendidikan Pajak “EXECUTIVE TAX PROGRAM; LMFEUI – TAF, Brevet A-B-C Angkatan Ke-40” 1. Nama Peserta :…………………………………………………………………. 2. Tempat/Tgl lahir :…………………………………………………………………. 3. Alamat Email :…………………………………………………………………. 4. Perush/Instansi :…………………………………………………………………. 5. Jabatan :…………………………………………………………………. 6. Alamat Perus :…….…………………………………………………………..... 7. Telpon :…………………………………………. Fax…………………. 8. HP :………………………………………………………………….. Pembayaran dilakukan melalui (beri tanda √): TRANSFER : Rek.No. 0163883965 BNI Cab.Salemba a/n. Koperasi EL-EM TUNAI : Datang langsung ke Sekretariat LM – FEUI Gd. Mohammad Sadli. Jl. Salemba Raya4 Jakarta Biaya Investasi Rp. 3.700.000,- (Tiga juta tujuh ratus ribu Rupiah) Pilihan Kelas : Kelas Malam Kelas Pagi Kelas Siang Jakarta,…………………………………….. Hormat kami, ( ……………………………….. ) Catatan: Mohon formulir pendaftaran yang telah diisi di-fax ke: 3193-1610 Konfirmasi silahkan hub:Telp. 390-7410, 3193-4142 Pst: 208 HP: 0818-175 425 Contact Person: Sdr. Beniko

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