Registration Form

1. Categories(*)
   Premium Membership (€ 1500)
   Large Membership (€ 1000)
   Small and medium size company (€ 500)
   Indonesian Company (IDR 3 Million)
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2. Please note that except for Indonesian company an ENTRANCE FEE OF €100 is required
3. Name of the company(*)
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4. Company logo
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5. Address
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6. Phone(*)
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7. Fax
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8. Email(*)
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9. Date of establishement(*)
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10. Legal Status(*)
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11. Line of business(*)
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12. Foreign partner (if any)
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13. Indonesian partner (if any)
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14. Number of employees (In Indonesia)
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15. Annual turnover (in US$, in IDR)
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16. Background (brief presentation of the company)(*)
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17. Major activities
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18. Major clients
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19. Name(s) of Management in the company that you would wish to be printed in IFCCI directory
20. 1. Full Name(*)
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21.    Position(*)
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22.    Upload Your Photo(*)
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23. 2. Full Name
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24.    Position
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25.    Upload Your Photo
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26. 3. Full Name
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27.    Position
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28.    Upload Your Photo
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