{"id":2265,"date":"2026-09-28T09:53:19","date_gmt":"2026-09-28T02:53:19","guid":{"rendered":"https:\/\/bprtridharmadepok.com\/form\/?page_id=2265"},"modified":"2026-09-28T10:25:24","modified_gmt":"2026-09-28T03:25:24","slug":"pembukaan-rekening-tabungan","status":"publish","type":"page","link":"https:\/\/bprtridharmadepok.com\/form\/pembukaan-rekening-tabungan\/","title":{"rendered":"FORM PEMBUKAAN REKENING TABUNGAN &amp; DEPOSITO"},"content":{"rendered":"<div id=\"vfb-form-5\" class=\"visual-form-builder-container\"><form id=\"formulir-pembukaan-rekening-tabungan-deposito-5\" class=\"visual-form-builder vfb-form-5 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"5\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 a-data-nasabah \" id=\"item-vfb-69\"><div class=\"vfb-legend\"><h3>A. DATA NASABAH<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-74\"><label for=\"vfb-74\" class=\"vfb-desc\">Nama lengkap <\/label><input type=\"text\" name=\"vfb-74\" id=\"vfb-74\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-75\"><label for=\"vfb-75\" class=\"vfb-desc\">Nama Alias \/ Nama Panggilan <\/label><input type=\"text\" name=\"vfb-75\" id=\"vfb-75\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-select   vfb-left-third\" id=\"item-vfb-76\"><label for=\"vfb-76\" class=\"vfb-desc\">Jenis Kelamin: <\/label><select name=\"vfb-76\" id=\"vfb-76\" class=\"vfb-select  vfb-medium  \"><option value=\"Pria\" selected='selected'>Pria<\/option><option value=\"Wanita\">Wanita<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-123\"><label for=\"vfb-123\" class=\"vfb-desc\">Tempat lahir <\/label><input type=\"text\" name=\"vfb-123\" id=\"vfb-123\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-date   vfb-right-third\" id=\"item-vfb-120\"><label for=\"vfb-120\" class=\"vfb-desc\">Tanggal Lahir <\/label><input type=\"text\" name=\"vfb-120\" id=\"vfb-120\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  \" data-dp-dateFormat=\"mm\/dd\/yy\" \/><\/li><li class=\"vfb-item vfb-item-email   vfb-left-third\" id=\"item-vfb-73\"><label for=\"vfb-73\" class=\"vfb-desc\">Email <\/label><input type=\"email\" name=\"vfb-73\" id=\"vfb-73\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><\/li><li class=\"vfb-item vfb-item-select   vfb-middle-third\" id=\"item-vfb-78\"><label for=\"vfb-78\" class=\"vfb-desc\">Status Perkawinan <\/label><select name=\"vfb-78\" id=\"vfb-78\" class=\"vfb-select  vfb-medium  \"><option value=\"Belum Kawin\">Belum Kawin<\/option><option value=\"Kawin\">Kawin<\/option><option value=\"Cerai\">Cerai<\/option><\/select><\/li><li class=\"vfb-item vfb-item-select   vfb-right-third\" id=\"item-vfb-79\"><label for=\"vfb-79\" class=\"vfb-desc\">Kewarganegaraan <\/label><select name=\"vfb-79\" id=\"vfb-79\" class=\"vfb-select  vfb-medium  \"><option value=\"WNI\">WNI<\/option><option value=\"WNA\">WNA<\/option><\/select><\/li><li class=\"vfb-item vfb-item-number   vfb-left-third\" id=\"item-vfb-80\"><label for=\"vfb-80\" class=\"vfb-desc\">NIK \/ Nomor Identitas: <\/label><input type=\"text\" name=\"vfb-80\" id=\"vfb-80\" value=\"\" class=\"vfb-text  vfb-medium   digits \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-81\"><label for=\"vfb-81\" class=\"vfb-desc\">NPWP <\/label><input type=\"text\" name=\"vfb-81\" id=\"vfb-81\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-third\" id=\"item-vfb-82\"><label for=\"vfb-82\" class=\"vfb-desc\">Nama Ibu Kandung <\/label><input type=\"text\" name=\"vfb-82\" id=\"vfb-82\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 b-alamat-dan-kontak \" id=\"item-vfb-83\"><div class=\"vfb-legend\"><h3>B. ALAMAT DAN KONTAK<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-84\"><label for=\"vfb-84\" class=\"vfb-desc\">Alamat Sesuai Identitas <\/label><div><textarea name=\"vfb-84\" id=\"vfb-84\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-number   vfb-left-third\" id=\"item-vfb-85\"><label for=\"vfb-85\" class=\"vfb-desc\">RT\/RW <\/label><input type=\"text\" name=\"vfb-85\" id=\"vfb-85\" value=\"\" class=\"vfb-text  vfb-medium   digits \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-86\"><label for=\"vfb-86\" class=\"vfb-desc\">Kelurahan\/Desa <\/label><input type=\"text\" name=\"vfb-86\" id=\"vfb-86\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-third\" id=\"item-vfb-87\"><label for=\"vfb-87\" class=\"vfb-desc\">Kecamatan <\/label><input type=\"text\" name=\"vfb-87\" id=\"vfb-87\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-third\" id=\"item-vfb-89\"><label for=\"vfb-89\" class=\"vfb-desc\">Kota\/Kabupaten <\/label><input type=\"text\" name=\"vfb-89\" id=\"vfb-89\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-88\"><label for=\"vfb-88\" class=\"vfb-desc\">Provinsi <\/label><input type=\"text\" name=\"vfb-88\" id=\"vfb-88\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-third\" id=\"item-vfb-90\"><label for=\"vfb-90\" class=\"vfb-desc\">Kode Pos <\/label><input type=\"text\" name=\"vfb-90\" id=\"vfb-90\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-91\"><label for=\"vfb-91\" class=\"vfb-desc\">Alamat Domisili (jika berbeda) <\/label><input type=\"text\" name=\"vfb-91\" id=\"vfb-91\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-phone   vfb-right-half\" id=\"item-vfb-92\"><label for=\"vfb-92\" class=\"vfb-desc\">Nomor HP <\/label><input type=\"tel\" name=\"vfb-92\" id=\"vfb-92\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-3 c-data-pekerjaan-usaha \" id=\"item-vfb-93\"><div class=\"vfb-legend\"><h3>C. DATA PEKERJAAN \/ USAHA<\/h3><\/div><ul class=\"vfb-section vfb-section-3\"><li class=\"vfb-item vfb-item-select   vfb-left-half\" id=\"item-vfb-94\"><label for=\"vfb-94\" class=\"vfb-desc\">Status Pekerjaan <\/label><select name=\"vfb-94\" id=\"vfb-94\" class=\"vfb-select  vfb-medium  \"><option value=\"Karyawan\">Karyawan<\/option><option value=\"Wiraswasta\">Wiraswasta<\/option><option value=\"PNS\/ASN\">PNS\/ASN<\/option><option value=\"TNI\/POLRI\">TNI\/POLRI<\/option><option value=\"Pensiunan\">Pensiunan<\/option><option value=\"Pelajar\/Mahasiswa\">Pelajar\/Mahasiswa<\/option><option value=\"Ibu Rumah Tangga\">Ibu Rumah Tangga<\/option><option value=\"Lainnya\">Lainnya<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-95\"><label for=\"vfb-95\" class=\"vfb-desc\">Nama Perusahaan\/Tempat Usaha <\/label><input type=\"text\" name=\"vfb-95\" id=\"vfb-95\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-third\" id=\"item-vfb-96\"><label for=\"vfb-96\" class=\"vfb-desc\">Jabatan \/ Jenis Usaha: <\/label><input type=\"text\" name=\"vfb-96\" id=\"vfb-96\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-97\"><label for=\"vfb-97\" class=\"vfb-desc\">Alamat Pekerjaan\/Usaha <\/label><input type=\"text\" name=\"vfb-97\" id=\"vfb-97\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-select   vfb-right-third\" id=\"item-vfb-98\"><label for=\"vfb-98\" class=\"vfb-desc\">Penghasilan per Bulan: <\/label><select name=\"vfb-98\" id=\"vfb-98\" class=\"vfb-select  vfb-medium  \"><option value=\"&lt; Rp3 Juta\">&lt; Rp3 Juta<\/option><option value=\"Rp3\u20135 Juta\">Rp3\u20135 Juta<\/option><option value=\"Rp5\u201310 Juta\">Rp5\u201310 Juta<\/option><option value=\"&gt; Rp10 Juta\">&gt; Rp10 Juta<\/option><\/select><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-4 d-informasi-rekening-tabungan \" id=\"item-vfb-100\"><div class=\"vfb-legend\"><h3>D. INFORMASI REKENING TABUNGAN<\/h3><\/div><ul class=\"vfb-section vfb-section-4\"><li class=\"vfb-item vfb-item-checkbox   vfb-left-third\" id=\"item-vfb-99\"><label class=\"vfb-desc\">Jenis Tabungan <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-99[]\" id=\"vfb-99-0\" value=\"Tabungan Umum\" class=\"vfb-checkbox  \" \/><label for=\"vfb-99-0\" class=\"vfb-choice\">Tabungan Umum<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-99[]\" id=\"vfb-99-1\" value=\"Tabungan Lainnya\" class=\"vfb-checkbox  \" \/><label for=\"vfb-99-1\" class=\"vfb-choice\">Tabungan Lainnya<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox   vfb-middle-third\" id=\"item-vfb-102\"><label class=\"vfb-desc\">Tujuan Pembukaan Rekening <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-0\" value=\"Menabung\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-0\" class=\"vfb-choice\">Menabung<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-1\" value=\"Dana Darurat\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-1\" class=\"vfb-choice\">Dana Darurat<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-2\" value=\"Keperluan Usaha\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-2\" class=\"vfb-choice\">Keperluan Usaha<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-3\" value=\"Pendidikan\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-3\" class=\"vfb-choice\">Pendidikan<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-4\" value=\"Investasi\/Simpanan\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-4\" class=\"vfb-choice\">Investasi\/Simpanan<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-102[]\" id=\"vfb-102-5\" value=\"Lainnya\" class=\"vfb-checkbox  \" \/><label for=\"vfb-102-5\" class=\"vfb-choice\">Lainnya<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-select   vfb-right-third\" id=\"item-vfb-103\"><label for=\"vfb-103\" class=\"vfb-desc\">Sumber Dana <\/label><select name=\"vfb-103\" id=\"vfb-103\" class=\"vfb-select  vfb-medium  \"><option value=\"Gaji\/Penghasilan\">Gaji\/Penghasilan<\/option><option value=\"Usaha\">Usaha<\/option><option value=\"Pensiun\">Pensiun<\/option><option value=\"Hasil Investasi\">Hasil Investasi<\/option><option value=\"Lainnya\">Lainnya<\/option><\/select><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-5 e-data-ahli-waris-kontak-darurat \" id=\"item-vfb-104\"><div class=\"vfb-legend\"><h3>E. DATA AHLI WARIS \/ KONTAK DARURAT<\/h3><\/div><ul class=\"vfb-section vfb-section-5\"><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-105\"><label for=\"vfb-105\" class=\"vfb-desc\">Nama <\/label><input type=\"text\" name=\"vfb-105\" id=\"vfb-105\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-106\"><label for=\"vfb-106\" class=\"vfb-desc\">Hubungan dengan Nasabah <\/label><input type=\"text\" name=\"vfb-106\" id=\"vfb-106\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-107\"><label for=\"vfb-107\" class=\"vfb-desc\">Alamat <\/label><input type=\"text\" name=\"vfb-107\" id=\"vfb-107\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-phone   vfb-right-half\" id=\"item-vfb-108\"><label for=\"vfb-108\" class=\"vfb-desc\">Nomor HP <\/label><input type=\"tel\" name=\"vfb-108\" id=\"vfb-108\" value=\"\" class=\"vfb-text  vfb-medium   phone \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-6 f-data-beneficial-owner-pengendali \" id=\"item-vfb-109\"><div class=\"vfb-legend\"><h3>F. DATA BENEFICIAL OWNER \/ PENGENDALI<\/h3><\/div><ul class=\"vfb-section vfb-section-6\"><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-110\"><label class=\"vfb-desc\">Diisi apabila rekening dibuka untuk kepentingan pihak lain. <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-110[]\" id=\"vfb-110-0\" value=\"Rekening untuk kepentingan sendiri\" class=\"vfb-checkbox  \" \/><label for=\"vfb-110-0\" class=\"vfb-choice\">Rekening untuk kepentingan sendiri<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-110[]\" id=\"vfb-110-1\" value=\"Rekening untuk kepentingan pihak lain\" class=\"vfb-checkbox  \" \/><label for=\"vfb-110-1\" class=\"vfb-choice\">Rekening untuk kepentingan pihak lain<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-111\"><label for=\"vfb-111\" class=\"vfb-desc\">Nama Pihak yang Diwakili <\/label><input type=\"text\" name=\"vfb-111\" id=\"vfb-111\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-112\"><label for=\"vfb-112\" class=\"vfb-desc\">Hubungan\/Kedudukan <\/label><input type=\"text\" name=\"vfb-112\" id=\"vfb-112\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-7 g-pernyataan-nasabah \" id=\"item-vfb-113\"><div class=\"vfb-legend\"><h3>G. PERNYATAAN NASABAH<\/h3><\/div><ul class=\"vfb-section vfb-section-7\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-122\"><label class=\"vfb-desc\"> <\/label>Saya menyatakan bahwa seluruh data dan informasi yang saya berikan dalam formulir ini adalah benar, lengkap dan dapat dipertanggungjawabkan.\r\nSaya bersedia memberikan dokumen dan informasi tambahan yang diperlukan oleh BPR Tridharma Depok dalam rangka proses pembukaan rekening, penerapan Customer Due Diligence (CDD), Know Your Customer (KYC), serta pemenuhan ketentuan peraturan perundang-undangan yang berlaku.\r\nSaya memahami dan menyetujui syarat dan ketentuan pembukaan serta penggunaan rekening tabungan yang berlaku di BPR Tridharma Depok.\r\nDemikian pernyataan ini saya buat dengan sebenar-benarnya.<\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-8 verification \" id=\"item-vfb-70\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-8\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-71\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-71\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-71\" id=\"vfb-71\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>masukan 2 angka bebas  contoh  12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-72\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-72\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/form\/wp-json\/wp\/v2\/pages\/2265\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2265","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/pages\/2265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/comments?post=2265"}],"version-history":[{"count":2,"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/pages\/2265\/revisions"}],"predecessor-version":[{"id":2270,"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/pages\/2265\/revisions\/2270"}],"wp:attachment":[{"href":"https:\/\/bprtridharmadepok.com\/form\/wp-json\/wp\/v2\/media?parent=2265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}