Check List Pariwisata

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KPTSP NO PERSY ARA T AN 1 2 3 4 Foto copy No mor Pok ok Waj ib Paj ak; 5 6 7 8 9 10 11 12 !kti r "#i$tra$i o%&i%" PERSY ARA T AN PEMBUA T AN T ANDA DAFT AR PENG ALAMI/BUATAN CEK LIST PEMOHON S!rat p"rmo'o%a% (iata$ kop p"r!$a'aa% ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i *orm!&ir (ata !$a'a; Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ik ya%# ma$i' b"r&ak!; Foto copy ,kta P"%(iria% a(a% -$a'a ya%# $"$!ai; !kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%# b"ba$ (ari $"%#k"ta '!k!m; Foto .opy S!rat /i% "%(irika% a%#!%a% /; Foto .opy S!rat /i% b"r(a$arka% -%(a%# -%(a%# a%##!a% --; Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a% 'i(!p ya%# $"$!ai ("%#a% k"t"%t!a% "rat!ra% "r!%(a% !%(a% a% Propo$a& r"%ca%a m"%(irika%+m"mba%#!% !$a'a parii$ata;  ) k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$ mat"rai ya%# c!k!p (ita%(ata%#a%i o&"' tampak ("pa%) kiri ka%a%) (a% (a&am tiaptiap r!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)

description

cek list ijin pariwisata

Transcript of Check List Pariwisata

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KPTSP

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

PERSYARATAN PEMBUATAN TANDA DAFTAR PENGALAMI/BUATAN

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%"rat!ra% "r!%(a% !%(a% a%

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%!$a'a parii$ata;

  )k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'

tampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)

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KETERANGAN

ELOLAAN PEMANDIAN AIR PANAS

VERIFIKASIPETUGAS

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KPTSP

NO PERSYARATAN

1 S!rat p"rmo'o%a% (ari p"%#"&o&a;

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6 "tai& b"%(a ata! ba%#!%a% ca#ar b!(aya;

7 SK ba%#!%a% ca#ar b!(aya jika a(a;

8 S!rat p"r%yataa% ta%##!%# jaab b"rm"t"rai;

9 Pa$ *oto P"%#"&o&a) 4:6 3 &"mbar;

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11 S!rat k!a$a jika (ik!a$aka%

12 !kti r"#i$tra$i o%&i%"

PERSYARATAN PEMBUATAN TANDA DAFTAR PENGELPURBAKALA BERUPA CANDI, KERATIN, PRASASTI,

CEK LISTPEMOHON

Foto copy KTP P"%#"&o&a+p"mi&ik) ya%# ma$i'b"r&ak!;

Foto copy ,kta P"%(iria% a(a% !k!m ya%#$"$!ai <ika ,(a;

Foto copy b!kti k"p"mi&ika% ba%#!%a% ata!

(ok!m"% &ai% ya%# (ip"r$amaka% jika a(a;

Propo$a& P"%#"&o&aa% .a#ar !(aya &atarb"&aka%#) mak$!( (a% t!j!a%) r"%ca%ap"%#"&o&aa%) a%##ara%) $tr!kt!r or#a%i$a$i(a% (a*tar karyaa% jika a(a) riayat (a%*oto ca#ar b!(aya;

 Ta%(a a*tar P"%#"&o&aa% &ama jikap"rpa%ja%#;

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KETERANGAN

LAAN PENINGGALAN SEJARAH DANPETILASAN DAN BANGUNAN KUNO

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

KPTSP

NO PERSYARATAN

1 S!rat p"rmo'o%a% (ari p"%#"&o&a;

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3

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6 "tai& b"%(a ata! ba%#!%a% ca#ar b!(aya;

7 SK ba%#!%a% ca#ar b!(aya jika a(a;

8 S!rat p"r%yataa% ta%##!%# jaab b"rm"t"rai;

9 Pa$ *oto P"%#"&o&a) 4:6 3 &"mbar;

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11 S!rat k!a$a jika (ik!a$aka%

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHON

Foto copy KTP P"%#"&o&a+p"mi&ik) ya%# ma$i'b"r&ak!;

Foto copy ,kta P"%(iria% a(a% !k!m ya%#$"$!ai <ika ,(a;

Foto copy b!kti k"p"mi&ika% ba%#!%a% ata!

(ok!m"% &ai% ya%# (ip"r$amaka% jika a(a;

Propo$a& P"%#"&o&aa% .a#ar !(aya &atarb"&aka%#) mak$!( (a% t!j!a%) r"%ca%ap"%#"&o&aa%) a%##ara%) $tr!kt!r or#a%i$a$i(a% (a*tar karyaa% jika a(a) riayat (a%*oto ca#ar b!(aya;

 Ta%(a a*tar P"%#"&o&aa% &ama jikap"rpa%ja%#;

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R PENGELOLAAN MUSEUM

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

NO PERSYARATAN

1 S!rat p"rmo'o%a% (ari P"%#"&o&a+K"t!a ,(at;

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4 a*tar p"%#'!%i+k"t!a a(at;

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6 a*tar ba%#!%a% a(at;

7 S!rat p"r%yataa% ta%##!%# jaab ;

8 Pa$ *oto k"t!a a(at) 4:6 3 &"mbar;

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10 S!rat k!a$a jika (ik!a$aka%;

11 !kti r"#i$tra$i o%&i%"

PERSYARATAN PEMBUATAN TANDA DAFTAR PENLINGKUNGAN AD

CEK LISTPEMOHON

Foto copy KTP P"%#"&o&a+K"t!a ,(at) ya%#ma$i' b"r&ak!;

a*tar rit!a& k"$"%ia% tra(i$i ya%# ma$i'b"rja&a%;

Propo$a& P"%#"&o&aa% P"m!kima% (a%+ata!=i%#k!%#a% ,(at &atar b"&aka%#) mak$!( (a%t!j!a%) r"%ca%a p"%#"&o&aa%) $tr!kt!ror#a%i$a$i a(at) riayat (a% *oto p"m!kima%(a%+ata! =i%#k!%#a% ,(at;

 Ta%(a a*tar P"%#"&o&aa% &ama jikap"rpa%ja%#;

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KETERANGAN

ELOLAAN PEMUKIMAN DAN/ATAUT

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR

Sat&ak K"c

NO PERSYARATAN

1 S!rat p"rmo'o%a% (ari P"%#"&o&a+P"mo'o%;

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3 S!rat K"t"ra%#a% ,'&i Wari$;

4 a*tar makam;

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6 Si&$i&a' k"t!r!%a% k"&!ar#a jika a(a;

7 SK ca#ar b!(aya jika a(a;

8 S!rat p"r%yataa% ta%##!%# jaab

9 Pa$ *oto ,'&i Wari$) 4:6 3 &"mbar;

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11 S!rat k!a$a jika (ik!a$aka%;

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHON

Foto copy KTP P"%#"&o&a+P"mo'o%) ya%#ma$i' b"r&ak!;

Propo$a& P"%#"&o&aa% >bj"k ?iara' &atar

b"&aka%#) mak$!( (a% t!j!a%) r"%ca%ap"%#"&o&aa%) riayat p"%#"&o&aa% (a% *oto>bj"k ?iara';

 Ta%(a a*tar P"%#"&o&aa% &ama jikap"rpa%ja%#;

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  ENGELOLAAN OBJEK ZIARAH

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFT

KPTSP

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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R KAWASAN PARIWISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR A

KPTSP

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  GKUTAN KERETA API WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR ANGK

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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TAN SUNGAI DAN DANAU WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR AN

PTSP

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KUTAN LAUT DOMESTIK WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR ANGKU

PTSP

NO PERSYARATAN

1

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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TAN LAUT INTERNASIONAL WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR USAH

Sat&ak K"c

NO PERSYARATAN

1

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 BIRO PERJALANAN WISATA (BPW)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR CABANG B

Sat&ak K"&

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  IRO PERJALANAN WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR AG

Sat&ak K"c

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  EN PERJALANAN WISATA (APW)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR SALES

Sat&ak K"&

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  OUNTER / GERAI JUAL

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR USAHA

KPTSP

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  ARIWISATA (TDUP) RESTORAN/CAFÉ

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

Sat&ak K"c

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR RUMAH MAKAN

KETERANGANVERIFIKASIPETUGAS

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KPTSP

NO PERSYARATAN

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PERSYARATAN PEMBUATAN TANDA DAFTAR USARUMAH MINUM

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

A PARIWISATA (TDUP) BAR ATAU

VERIFIKASIPETUGAS

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KPTSP

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PERSYARATAN PEMBUATAN TANDA DAFTAR USPENJUALAN MAKANAN (FO

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

  HA PARIWISATA (TDUP) PUSATOD COURT)

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR

Sat&ak K"c

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1

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  EDAI KOPI (COFFEE HOUSE)

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

NO PERSYARATAN

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PERSYARATAN PEMBUATAN TANDA DAFTARERS_FLOWCHART TANDA DAFTAR JASA

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

 USAHA PARIWISATA (TDUP)BOGA ATAU KATERING

VERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR KAN

Sat&ak K"&

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1

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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IN ATAU CAFETARIA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TAND

Sat&ak K"&

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4 Foto copy Nomor Pokok Wajib Pajak;

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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DAFTAR BAKERY 

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  AFTAR COFFEE SHOP

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"&

NO PERSYARATAN

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PERSYARATAN PEMBUATAN TANDA DAFT(MOBILE RESTAUR

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

R RESTORAN BERGERAKNT)

VERIFIKASIPETUGAS

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KPTSP

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PERSYARATAN PEMBUATAN TANDA DAFTAR USAHTERAPUNG

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

A PARIWISATA (TDUP) RESTORAN

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

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  FTAR HOTEL BINTANG

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

KPTSP

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR HOTEL MELATI

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

Sat&ak K"c

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR HOTEL MELATI !

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

Sat&ak K"&

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR HOTEL MELATI "

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR

PTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 PONDOK WISATA (COTTAGE)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR RESORT WISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TAND

KPTSP

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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A DAFTAR MOTEL

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR HUNIA

PTSP

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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N WISATA (SERVICE APARTEMENT)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DA

PTSP

NO PERSYARATAN

1

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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TAR HOTEL TERAPUNG

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAF

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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AR BUMI PERKEMAHAN

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 PERSINGGAHAN KARAVAN

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR PENG

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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INAPAN REMAJA (GRAHA WISATA)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAF

Sat&ak K"&

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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AR WISMA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR ARE

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

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8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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A LAPANGAN GOLF

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR GELANGGANG OL

Sat&ak K"&

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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H RAGA BOLA SODOK (BILLYARD)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR GELAN

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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GANG OLAHRAGA LAPANGAN TENIS

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

NO PERSYARATAN

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PERSYARATAN PEMBUATAN TANDA DAFTAR GELAN(BOWLING)

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

GANG OLAHRAGA BOLA GELINDING

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR GE

Sat&ak K"c

NO PERSYARATAN

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  ANGGANG OLAHRAGA RENANG

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR PU

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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AT OLAHRAGA (SPORT CENTER)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR

Sat&ak K"c

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 PUSAT KESEGARAN JASMANI

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR AR

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  NA LATIHAN GOLF

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 GOR SELUNCUR

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR KO

Sat&ak K"&

NO PERSYARATAN

1

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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AM PEMANCINGAN

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR PANGKAS

Sat&ak K"&

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 RAMBUT (BARBERSHOP)

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAF

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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AR BIOSKOP

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

Sat&ak K"c

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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8

9

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11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR SANGGAR SENI

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA

Sat&ak K"c

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  AFTAR GALERI SENI

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR

KPTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 GEDUNG PERTUNJUKAN SENI

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

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PERSYARATAN PEMBUATAN TANDA DAFTAR PERMMANUAL/MEKANIK/ELEKTRONIK) UN

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

INAN KETANGKASAN (PERMAINANUK ORANG DEWASA

VERIFIKASIPETUGAS

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Sat&ak K"c

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PERSYARATAN PEMBUATAN TANDA DAFTAR SARANMANUAL/MEKANIK/ELEKTRONIK) UNTUK ANA

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

 REKREASI KELUARGA (PERMAINANK#ANAK DAN/ATAU KELUARGA

VERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFTAR

KPTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 KELAB MALAM

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN TANDA DAFT

KPTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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R DISKOTIK 

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA

KPTSP

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  AFTAR MUSIK HIDUP

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TA

KPTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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DA DAFTAR PUB

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA

Sat&ak K"c

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  AFTAR GRIYA PIJAT

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TAN

Sat&ak K"c

NO PERSYARATAN

1

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3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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8

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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DA DAFTAR SPA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFT

PTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

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11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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R TAMAN MARGASATWA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DA

PTSP

NO PERSYARATAN

1

2

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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9

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11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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TAR TAMAN REKREASI

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DA

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

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8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR TAMAN BERTEMA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA

Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 DAFTAR KARAOKE

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR J

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  SA IMPRESARIAT/PROMOTOR

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN IZIN PERTUNJU

PTSP

NO PERSYARATAN

1

2

3

4

5

6 F=>W .,T S>P = ,,

7

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11

12

CEK LISTPEMOHON

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AN TEMPORER

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

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10

11

12 !kti r"#i$tra$i o%&i%"

PERSYARATAN PEMBUATAN TANDA DAFTAR PEPERJALANAN, INSENTIF KONFERENSI

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

  YELENGGARAAN PERTEMUAN ,DAN PAMERAN (MICE)

VERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 JASA FASILITAS THEATER

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR JASA F

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  SILITASI KONVENSI DAN PAMERAN

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR JAS

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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RUANG PERTEMUAN EKSEKUTIF

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTAR J

KPTSP

NO PERSYARATAN

1

2

3

4 Foto copy Nomor Pokok Wajib Pajak;

5

6

7

8

9

10

11

12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  ASA INFORMASI PARIWISATA

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

PTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  JASA MANAGEMEN HOTEL

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

PTSP

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR WISATA SELAM

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA D

PTSP

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CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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  FTAR PERAHU LAYAR

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN KOLAM PE

Sat&ak K"&

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1

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4 Foto copy Nomor Pokok Wajib Pajak;

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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ANCINGAN

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

KPTSP

NO PERSYARATAN

1

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 USAHA WISATA SELANCAR

KETERANGANVERIFIKASIPETUGAS

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PERSYARATAN PEMBUATAN TANDA DAFTA

KPTSP

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1

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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 USAHA DERMAGA BAHARI

KETERANGANVERIFIKASIPETUGAS

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Sat&ak K"c

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4 Foto copy Nomor Pokok Wajib Pajak;

5

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12 !kti r"#i$tra$i o%&i%"

PERSYARATAN PEMBUATAN TANDA DAFTAR WISUNTUK JENIS WISATA

CEK LISTPEMOHONS!rat p"rmo'o%a% (iata$ kop p"r!$a'aa%ba#i ya%# b"rba(a% !$a'a) (a% m"%#i$i*orm!&ir (ata !$a'a;

Foto copy KTP p"mimpi% p"r!$a'aa%+p"mi&ikya%# ma$i' b"r&ak!;

Foto copy ,kta P"%(iria% a(a% -$a'a ya%#$"$!ai;

!kti Stat!$ K"p"mi&ika% T"mpat -$a'a ya%#b"ba$ (ari $"%#k"ta '!k!m;

Foto .opy S!rat /i% "%(irika% a%#!%a%/;

Foto .opy S!rat /i% b"r(a$arka% -%(a%#-%(a%# a%##!a% --;

Foto .opy (ok!m"% p"%#"&o&aa% &i%#k!%#a%'i(!p ya%# $"$!ai ("%#a% k"t"%t!a%p"rat!ra% p"r!%(a%#!%(a%#a%;

Propo$a& r"%ca%a m"%(irika%+m"mba%#!%

!$a'a parii$ata;

S!rat P"r%yataa% m"%#"%ai k"b"%ara%)k"ab$a'a% b"rka$ p"rmo'o%a% (i ata$mat"rai ya%# c!k!p (ita%(ata%#a%i o&"'p"mimpi% p"r!$a'aa%+p"mi&ik;

Foto &oka$i !$a'a !k!ra% 4 b"rar%atampak ("pa%) kiri ka%a%) (a% (a&am tiaptiapr!a%#a% ma$i%#ma$i%# 1 $at! &"mbar)b"$"rta ("%a' &oka$i+r!a%#a%

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KETERANGAN

TA SUNGAI, DANAU ATAU WADUKAYUNG

VERIFIKASIPETUGAS

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PERSYARATAN REKOMENDASI IZIN TEMPORER (

NO PERSYARATAN

1

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4

5 = ,, F=>W.,T

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CEK LISTPEMOHON

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  ONSER, FESTIVAL, BAZAR, FILM)

KETERANGANVERIFIKASIPETUGAS