B2B Program - Partner Registration Form

Informasi Pribadi

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* Nama PT

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* Alamat

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* Provinsi

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* Kota

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* Kode Pos

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* Telepon

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* Fax

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* Jenis Usaha

Badan Usaha Milik Swasta

Badan Usaha Milik Negara (BUMN)

Koperasi

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* PKP/Non PKP

PKP

Non PKP

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* No NPWP

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* Atas Nama NPWP

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* Alamat sesuai NPWP

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* PPH23

Yes

No