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LP02 Trade Vendor Form E379

LP02 Trade Vendor Form


PT HERO SUPERMARKET TBK Others:

Requestor : V Guardian MD Grocerys MD GMS MD Fresh EMAIL REQUESTOR eandrian@hero.co.id Others:


(Please specify)

New Create V Change Reference:-


(Please fill in all mandatory * fields in Part A) (Please fill in fields need changing and
provide the Customer Number at A1)
Extend Vendor Type (account group)
(e.g., Trade to Non-Trade)

(If select any boxes below, please fill in A1 and B9 below)

Payment Block (not for frequent block & release) Release Payment Block (not for frequent block & release)

Posting Block Un block Posting Block Disable

(A) VENDOR INFORMATION


ATTACHMENTS
(please tick ( √ ) for applicable attachement)

V Copy of Bank statement (showing of bank account)

V Copy of NPWP

Copy of SKKP (Surat Pengukuhan Pengusaha Kena Pajak)

V Copy of of Surat keterangan terdaftar

V Certificate of Domicile (for overseas country)

(1) SAP FICO Vendor Number 0 0 Effective Date


DD/MM/YYYY
(New Vendor Number will be assigned for New Create. If Change, Reference, Block, Disable or Release, please provide the current Vendor Number and Effective Date)

(2) Information for Legacy System (Mandatory if legacy is required)

(2.1) Legacy Vendor Number/SAP Retail Code E379 (2.2) Legacy System AP21 CASH MGT

(3) Vendor Account Group* (Please select ONE only)

V Trade Local Vendor Trade Import Vendor Trade AP Service provider

VENDOR ACCOUNT : BTN BCA Trade Normal (If select this group, please sign the Form directly and
enclose with the relevant invoice for processing)
(4) Vendor Information

(4.1) Title * V Company Mr Ms Mr & Mrs

3 (4.2) Vendor Name PT ESTETIKA INFINITI MAKMUR

(4.4) Vendor short name * LAVIELASH Limited to 20 characters

(4.5) Address RUKO TOHO BLOK I NO. 6 JL. PANTAI INDAH KAPUK JAKARTA UTARA

(4.7) Postal Code 14470 (4.8) City * JAKARTA (4.9) Country * ID Indonesia (4.10) Region DKI Jakarta Jakarta

(4.11) Telephone 021 - 22576411 Extension


(For country code if any)

(4.12) Mobile 087882626265 (4.13) Email finance@lavielash.com (4.14 Fax -


(For country code if any)

(5) Vendor Bank Details (Leave this BLANK if pay by cheque, otherwise, mandatory field with * )

(5.1) Bank Country * ID Indonesia

(5.2) Bank Code & Name * PT ESTETIKA INFINITI MAKMUR (5.3) Bank Branch Code * 6275

(5.4) Bank Account No. * 6275367889 (5.5) Account Holder Name * PT ESTETIKA INFINITI MAKMUR

(5.6) Swift Code (5.7) IBAN


(Mandatory for overseas payment) (Mandatory for EUR overseas payment)

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