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Formulir Pendaftaran Inkubasi Bisnis 2024

NIK *
N/A
Nama Lengkap *
N/A
Tempat, Tanggal Lahir *
N/A
Umur *
N/A
Jenis Kelamin *
N/A

Laki-Laki
Perempuan
Alamat Tempat Tinggal *
N/A
Upload KTP *
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Upload file Capture image using webcam
No. WhatsApp *
N/A
Alamat Email *
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Nama Usaha *
N/A
Bidang Usaha *
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Industri Olahan Pangan
Fashion
Tanggal Berdirinya Usaha
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dd-MMM-yyyy
Produk yang dijual *
N/A
Alamat Usaha *
N/A
Legalitas yang dimiliki *
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Other
Media Sosial yang dimiliki *
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Other
Dengan ini, saya :
1. Bersedia mengikuti seluruh peraturan dan ketentuan dalam setiap kegiatan secara penuh dari awal hingga akhir Inkubasi Bisnis Klungkung Entrepreneur Creator 2024.
2. Bersedia terlibat aktif dalam diskusi dan tanya jawab selama pelatihan, coaching dan masa pembimbingan.
3. Bersedia mengembangkan ide dan memenuhi standarisasi serta sertifikasi produk sebagai kualifikasi masuk ke toko retail.
4. Apabila dikemudian hari ternyata saya ingkar terhadap surat pernyataan yang saya buat ini, maka saya bersedia keikutsertaan saya dalam Inkubasi Bisnis Klungkung Entrepreneur Creator 2024 dibatalkan.
Demikian surat pernyataan ini saya buat agar dapat dipergunakan sebagai mestinya.

Hormat saya,
Tanda Tangan *
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