We hereby request a Corporate Cooperation with PT Garuda Indonesia. Below is our company’s profile : * Required field
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Company Profile
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| Company Name * | : | |
| Head of Company Name * | : | |
| Main Address * | : | St. |
| | | City |
| | | Postal Code |
| | | Province |
| | | Country |
| Nearest Garuda Sales Representative * | : | |
| Phone No. 1 * | : | |
Phone No. 2
| : | |
Fax No.
| : | |
| Website | : | |
SIUP No.
| : | |
| NPWP * | : | |
| |
| Data |
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Total Number of Employees
| : | Persons |
Business Coverage
| : | National International Both |
| Estimated Work Travel Expenses by Air Travel / year | : | in IDR (Example 1.200.000.000) |
in USD (Example 1.200) |
| Requested priority in flight service | : | Economy Class
| % |
Business Class
| % |
Number of Branch Offices or Affiliates
| : | |
| Name and Location of Branch Offices or Affiliates | : | Name(s) of Branch Offices/Affiliates | |
| Location(s) of Branch Offices/Affiliates | |
| |
Account Profile
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| Name * | : | |
| Email Address * | : | |
| Position * | : | |
Cellular Phone No.* | : | |
|
PIC for Corporate Cooperation (If different from the account holder’s name) | : | |
PIC Email Address
| : | |
PIC Cellular Phone No.
| : | |
| Enter the black letter(s)/number(s) only * | : | | |
| | | |