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    Indonesia Supplier Creation Supplier Part en Anugrah Jaya

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    Andrey Hariyanto
    This document is a vendor creation and change request form. It provides information to create or update a vendor profile, including the vendor's address, bank details, and company information. The form confirms acceptance of Kemira's Code of Conduct and collects the vendor's name, address, phone number, tax registration number, bank account details, currency, and answers questions about relationships with Kemira employees and business ownership.

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    Indonesia Supplier Creation Supplier Part en Anugrah Jaya

    Uploaded by

    Andrey Hariyanto
    11 views8 pages
    This document is a vendor creation and change request form. It provides information to create or update a vendor profile, including the vendor's address, bank details, and company information. The form confirms acceptance of Kemira's Code of Conduct and collects the vendor's name, address, phone number, tax registration number, bank account details, currency, and answers questions about relationships with Kemira employees and business ownership.

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    Original Title

    Indonesia Supplier Creation Supplier Part en Anugrah Jaya (1)

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    This document is a vendor creation and change request form. It provides information to create or update a vendor profile, including the vendor's address, bank details, and company information. The form confirms acceptance of Kemira's Code of Conduct and collects the vendor's name, address, phone number, tax registration number, bank account details, currency, and answers questions about relationships with Kemira employees and business ownership.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views8 pages

    Indonesia Supplier Creation Supplier Part en Anugrah Jaya

    Uploaded by

    Andrey Hariyanto
    This document is a vendor creation and change request form. It provides information to create or update a vendor profile, including the vendor's address, bank details, and company information. The form confirms acceptance of Kemira's Code of Conduct and collects the vendor's name, address, phone number, tax registration number, bank account details, currency, and answers questions about relationships with Kemira employees and business ownership.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 8

    Vendor Creation & Change Request:

    By returning the filled request form you confirm the receipt and acceptance of Kemira's Code of Conduct you can find on the second sheet of this request form!

    Address and Bank Details


    Vendor Name:
    Street Adress:
    Postal code:

    Nama Vendor
    Alamat
    Kode Pos

    ANUGRAH JAYA
    JL. DHARMAWANGSA 58
    60286

    City:
    Country:

    Kota
    Negara

    SURABAYA
    INDONESIA

    Region: (optional)

    Propinsi

    JAWA TIMUR

    PO Box: (optional)

    PO Box (optional)

    PO Postal code: (optional)

    Kode Pos PO Box (optional)

    Telephone number:

    Nomor Telpon

    +62-31-5030570

    Faxnumber: (optional)

    Nomor Fax (optional)

    +62-31-5030570

    E-mail address:

    Alamat Email

    TAX registration number:

    NPWP

    Bank name:

    Nama Bank

    BANK CENTRAL ASIA

    Bank account:
    Bank code/IBAN/ABA/Routing code (optional)

    Nomor Rekening Bank

    5650077727

    Swift/Bic code: (optional)


    Order currency:

    Kode SWIFT
    Mata Uang

    CENAIDJA
    IDR

    Company Information
    Answer:

    We accept Kemira's Code of Conduct on the second page of this worksheet:


    Does the supplier or any of its directors, shareholders or senior employees have
    any relationship (family, friend, other) with a person employed by Kemira in a senior position?
    Sole proprietorship (business owned by 1 person)?
    Name of the owner:

    YES
    NO
    YES
    DAVID HARIYANTO

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