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20231005_MORA_Pembayaran Kupon//Bagi Hasil//Ijarah//Pokok_31435682_lamp2.pdf
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Aplikasi Sanusi an hd fnleta BS | BANK SYARIAH Api INDONESIA Bismillaahirrahmaanirrahiim Gang No.: 3 3: 3 3 4 4 3 6 Ilection Applic Kepada PT Bank Syariah Indonesia, Tbk to PT Bank Syariah Indonesia, Tbk 1“ 8 Harap dilakukan transaksi berikut Please do ihis transastion: Cabang Branch ! Tanggal Date Jenis transaksi 5 Setoran Pemindahbukuan RTGS Kliring-Inkaso Wesel Bs Transaction Deposit Overbooking RIGS ii Pollection lemand Draft Kor PENERIMA BenetEluk Bukan Penduduk PENGIRIM Penduduk (J Bukan Penduduk ll) Nasabah (7 Bukan Nasabah Benehciary Asad Non-Resident Applicant TAG Kn, "3 ident far 5 Walkin Ci Dam Nama SS y Ha Asa Warna Tonesa Ae anen Name LANSIA YO AKU Name | Nomor Identit | TT ortattna Serikat apel Tandon Menma Pede BEE bE Fa 7 Alam &Nemontelmaan NN OA Ba | 'Alimat &iNomonTalapan “Aadress & Telephone Number | “Address & Telephone Number | . SUMBER DANA Tunai Pj sewatverairo , | MATA UANG Is Rupiah (ee Valuta Asing Es TRANSAKSI 5 | Currency Local Currency Foreign Currenoy Source of Fund yi Debet Rekening: ANE | BERITA UNTUK. PI NERIMA Message for Beneficiary 3 1 1 SN uai 3 Val mi KS ANA aa Pn ne Ti Ta | Tila PA NA oleh Bank f// CAN | Jumlah Transfer Amount of Transfer - — Komisi Commission : Juih (IN Sen OS OS: PRO | Biaya Pengiriman (SWIFT/RTGS/SKN) Aellang AH Tiga tret tmpat Yok Aga multat am vatus | Biaya Koresponden Cowespondeni Charge Iwa AAA yet ea ta TA et | Enen BIAYA TRANSAKSI DNA Tunai Debet Rekenin l F| Kane Handling Charge Cash Bee | Si Total | C eeaan ena lean era sana nsnpncan kta @eRg yang tercantum dibalik Formulir, ansaksi In Aolcant ve "saw anudestund and Wih Mis opiean unondilona | Biaya Bank Koresponden $ l ecepta em ah condhan onheresene ortas Mansacton Tam Cortespondeni Charge Pengir Penerima, (“Jtainnya | & Pengesahan Bank Banks Authorization Tanda Tangan Pemohon Applkcants Signature. Apik cant Beneficiary Others | 3 TUJUAN TRANSAKSI Underlying Iransaction | » PET 5 1 | | | AG 001 Lembar 3 suntuk Nasabah
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