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Vendor Registration Form Details

This document is a vendor registration form for Cahaya Mandiri CV. It provides contact information for the company including the name of two contact persons, their phone numbers and emails. It also gives an overview of the company including details of their goods/services which is construction equipment, their date of incorporation, annual sales, legal structure and tax ID. Banking information is also listed including the bank name, beneficiary name, account number and SWIFT code. The form is signed by the executive sales Handoko Irawan.

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45 views1 page

Vendor Registration Form Details

This document is a vendor registration form for Cahaya Mandiri CV. It provides contact information for the company including the name of two contact persons, their phone numbers and emails. It also gives an overview of the company including details of their goods/services which is construction equipment, their date of incorporation, annual sales, legal structure and tax ID. Banking information is also listed including the bank name, beneficiary name, account number and SWIFT code. The form is signed by the executive sales Handoko Irawan.

Uploaded by

dock.valiant
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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VENDOR REGISTRATION FORM

FM.PR.04.00
COMPANY CONTACT

Registration No. :
COMPANY NAME CAHAYA MANDIRI CV 100734614633

TELEPHONE 0859106665958 MAILING ADDRESS : [email protected]

FAX

WEBSITE
( If Available )
www.omatic.co.id

1. CONTACT PERSON MOBILE NUMBER &


NAME & TITLE
Handoko Irawan EMAIL
081223555357 [email protected]

2. CONTACT PERSON MOBILE NUMBER &


NAME & TITLE EMAIL

COMPANY OVERVIEW

GENERAL DETAILS OF
SERVICES / GOODS
PERDAGANGAN BESAR ALAT PERALATAN KONSTRUKSI

DATE OF
INCORPORATION
11/5/16 GROSS ANNUAL SALES 50000000

REGISTERED NO. 100734614633 LEGAL STRUCTURE

TAX ID 76.060.041.1-435.000 BUSINESS TYPE

CERTIFICATE NO. /
CERTIFICATION
EXPIRED DATE

ADDITIONAL INFO

BANKING INFORMATION

BANK NAME MANDIRI


BANK ADDRESS
BENEFICIARY NAME CAHAYA MANDIRI CV

ACCOUNT NUMBER 1200013425140 SWIFT CODE BMRIIDJA

PAYMENT METHODE Cash / Transfer Tunai

PAYMENT TERM

CERTIFICATION

I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be
considered material in the evaluation of quotations, bids, and proposals. Notice must be given of any change in status impacting the information
provided within ten (10) days of said change.

NAME Handoko Irawan TITLE Executive Sales

SIGNATURE DATE 27 Oktober 2023

FILLED BY PT. TATA METAL LESTARI

PROPOSED BY
TECHNICAL
( NAME & SIGNATURE )
COMMENT* ( RAW
ACKNOWLEDGED BY MATERIAL VENDOR
( NAME & ONLY )
SIGNATURE )

STATUS NAME & SIGNATURE

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