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The document is an "Exit Permit" from PT. FASINO. The form includes sections for name, department, necessity, and kilometers. It specifies "Fisheries, KUSO, Rikanwiya" for purpose and notes "17/09/25" as the date in Bandung. It also includes sections for applicant, immediate reason, assistant manager/manager and a general manager, each with space for a signature and name. The Applicant signs next to the word "Pemohon". The ass. man manager signs next to the words "Alasan langsung".
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