Menara 165, 6th Floor Unit B

Jl. TB. Simatupang Kav.1

Jakarta Selatan
Indonesia, 12560
Tel: (62) 21 2940 6355
Fax: (62) 21 2940 6356
www.esriind onesia.c o.i
d

End User Information Sheet

This information is required for ESRI database purpose only. Contents of this sheet will be treated as confidential.

Customer PO #: ………… Existing User:  Yes (EU : 650112 )  No

Organization/Company Name : PT. Indo Muro Kencana

Department/Project Name : Geology Exploration
Installation Address : Sahid Sudirman Center Lt. 31 Jl. Jend Sudirman No. 86
Jakarta Pusat, 10220
Contact Person : Tony Haryadi Wibowo
Telephone : 089653115652
Fax : ………………………………………….....................................
Email : toni.haryadi@imkgold.co.id
For Version 10.X deliverables, please select either one:  Media Kit  Self -Downloading

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Computer Model : ……………………………………………
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For purchase or upgrade to ArcGIS Server based products, the following fields are compulsory
Server Model : …………………………………………….
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DBMS & Version : …………………………………………….

Sector (Tick ONE only)

Petroleum & Mining PFA Utilities National Government
 Petroleum, Oil & Gas  Plantation  Utilities – Electric Local Government
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 Mineral  Agriculture  Utilities – Gas/Pipeline  AEC
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