BAHARI PUTRA GROUP
SAMUDRA INVESTA
Wahana Berinvestasi yang Halal,
Aman dan Menguntungkan
FORMULIR PENDAFTARAN ANGGOTA
No. ID : ________________
Nama Sponsor : _________________________________________
Nama Investor : _________________________________________
Jenis Kelamin : ________________
Tempat/Tgl. Lahir : _________________________________________
No. KTP : _________________________________________
Pekerjaan : _________________________________________
No. Telephone/HP : _________________________________________
E-mail : _________________________________________
Ahli Waris : _________________________________________
Hub. Dg Ahli Waris : _________________________________________
Alamat : _________________________________________
_________________________________________
Nominal Investasi : ________________________
Lama Kontrak : ___________ bulan
Nama Bank : ________________________
No. Rek./ Pemilik : ________________________
Tangerang, ____________________
INVESTOR,
______________________________
