Client Data Form

Please fill in this form to register your data.

Company Information


Business License & Legal Information

You can upload any type of file with a maximum size of 5 MB

You can upload any type of file with a maximum size of 5 MB

You can upload any type of file with a maximum size of 5 MB


Person In Charge Information

Marketing
Finance
Legal

Bank Information & Payment Method

Please transfer in IDR to PT. Mahakarya Adi Indonesia at :

1. (IDR) Mandiri Bank - Account No. 122-001-238-1243 at Thamrin Nine, Jakarta


Specifics Information from Client


Confirmation

By submitting below, I certify all information is true and correct to the best of my knowledge.