SGS INDONESIA

NEW CLIENT DATA FORM

GENERAL INFORMATION

Date

Client Name
(Nama yg akan muncul di Invoice)
Business Contact Person
Email Add. Business Contact
Line 1:
Line 2:
Line 3:

Address

City:

State/Province:

Postal Code:
Phone:

Country:
Fax:

Payment Type in Votis** - pls select one

(LOC, INT, GVA, CBA)

Nature of Business

TAX INFORMATION*
Tax User Name
Email Address Acc & Fin Div
Line 1:
Line 2:
NPWP Address
(as in Tax Invoice)

Line 3:
City:

State/Province:

Postal Code:

Country:

NPWP No.

Catatan :
* Fill for Company located in Indonesia
** Fill by SGS
- Please send us a formal letter if any changes on your company informa
- Please attach copy of NPWP as supporting ducument

Client Name:

Form ini mohon dapat dikembalikan kepada PIC PT. SGS atau melalui fax ke

Full Name
Position

:
:

Nama
Email
Telp
Fax
Alamat

: Mohammad Arsani
: mohammad.arsani@sgs.com
: (021) 781 - 8111 ext. 181
: (021) 780 - 7919
: PT. SGS Indonesia
Kawasan Cilandak Commercial Estate, Jl Raya Cilandak KKO
No.108C#, Cilandak Timur, Pasar Minggu - Jakarta Selatan 12

dd/mm/yy

es on your company information

ducument

C PT. SGS atau melalui fax ke:

state, Jl Raya Cilandak KKO

Minggu - Jakarta Selatan 12560