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January 09, 2001


REGISTRATION SECTION

 

I, the undersigned below:

Full Name : Wisin Suhendra Setiady / Ng Wie Chin
Address : Jl. Kapuk Pulo 31 RT 15/10 Jakarta 11720

Herewith authorize :

Full Name :
Address :

To receive from , with the amount of . This due to .

Your assistance is very much appreciated. Thank you for your kind attention.


(Ng Wie Chin / Wisin Suhendra Setiady)

Residence:
Jl Kapuk Pulo No 31 RT 15/10 Cengkareng Jakarta Barat 11720 Indonesia
Phone (H) +6221 545 2722; (HP) +62 812 935 8555
Email: wisinss@yahoo.com Page: http://www.oocities.org/wisinss
Office: Berca Hardayaperkasa
Jl Abdul Muis No 62 Jakarta Pusat 10160 Indonesia
Phone +6221 380 0902, 345 5880 Ext 3733; Fax +6221 351 8814, 381 2044
Email: wisinss@berca.co.id Page: http://www.bercahp.com

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