Register

We hereby request a Corporate Cooperation with PT Garuda Indonesia. Below is our company’s profile :

* Required field

Company Profile

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

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

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 *

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