New Client Data Form

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 1

NEW CLIENT DATA FORM

Entity SGS INDONESIA


GENERAL INFORMATION Date
dd/mm/yy

Client Name
( as per written on Invoice)

Business Contact Person

Email Add. Business Contact

Address
City State/Province:

Postal Code: Country:


Phone: Mobile:

Nature of Business

TAX INFORMATION*

Name Registered in Tax Office


Email Address Acc & Fin Div

Tax Address Registered in Tax Office


(as in Tax Invoice)

City State/Province:
Postal Code: Country:

NPWP No

CREDIT INFORMATION

Bank Name
Account Number

Bank Address
City: State/Province:
Postal Code: Country:

Type of Payment Term

SIGNATURE FOR APPROVAL TERM


OF PAYMENT**

Signature Signature
Signature Finance
Signature Sales Manager Business Managing
Director
Manager Director

Name Name Name Name

Date Date Date Date

Notes :
* Must be filled by the client in Indonesia
**Signed by SGS Authorities
- Please fill correctly and clearly.
- Please send us a formal letter if any changes on your company information.
- Please complete this form by the latest NPWP Card and SKT ( if any ).
-SGS will not be responsible in writing the identity of the buyer if the forms are not filled out correctly and not equipped with a copy of
NPWP card and SKT for those who have it.

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

Nama : Cris Tefanus / Reza Ramdhani


Email : Cris.tefanus@sgs.com/ Reza.Ramdhani@sgs.com
Telp : (021) 29780600 Ext 1304 ( Cris) and 1307 (Reza)
Full Name : Fax : (021) 29780678
Position : Alamat : PT. SGS Indonesia
The Garden Centre 2nd Floor
Cilandak Commercial Estate
Jl. Raya Cilandak KKO, Jakarta Selatan
DKI Jakarta Raya 12560

PF-(ID)-[GEN]-FI-007/Ver.002/02.12.11/Page 1 of 1

You might also like