Individual
Non-Individual
No. SID
:
Kode Nasabah
:
Nama Nasabah :
Agen Penjual
:
Cabang
:
SID Number
Investor Code
Name of Investor
Selling Agent
Branch
FORMULIR PEMBUKAAN REKENING
ACCOUNT OPENING FORM
Paraf Nasabah/Initial of Investor
NASABAH INDIVIDUAL
INDIVIDUAL INVESTOR
1. Nama Lengkap Nasabah :
2. Kewarganegaraan : WNI WNA
3. Kartu Identitas : KTP No KTP Paspor No Paspor NPWP No NPWP KIMS No KIMS KITAS No KITAS KITAP No KITAP
4. Tempat dan Tanggal Lahir : Tempat Lahir Tanggal Lahir
Tgl Bln Thn
5. Jenis Kelamin : Pria Wanita
6. Status Perkawinan : Menikah Lajang Janda/Duda 7. Nama Pasangan (Wajib untuk status menikah) :
8. Ahli Waris :
9. Hubungan dengan Ahli Waris :
10. Pendidikan : SD
11. Agama : Islam
Religion Full Name
Nationality Indonesian Foreigner, ______________________
ID Card ID Card ID Card Number
Tanggal Kadaluwarsa Expiry Date Passport Passport Number
Tanggal Kadaluwarsa Expiry Date Tax ID Tax ID Number
Tanggal Registrasi Registration Date
Temporary Entry Permit Temporary Entry Permit Number Tanggal Kadaluwarsa Expiry Date
Temporary Staying Permit Temporary Staying Permit Number Tanggal Kadaluwarsa
Expiry Date
Permanent Residence Permit Permanent Residence Permit Number Tanggal Kadaluwarsa
Expiry Date
Place and Date of Birth Place of Birth Date of Birth
Date Month Year
Sex Male Female
Marital Status Married Single Widow/Widower
Spouse Name (Mandatory for Married status) Heir
Relationship with heir
Educational background Elementary School
Moslem
Mohon isi formulir di bawah ini dengan lengkap dan benar
Please fill in this form with complete and valid information
Nama Depan
First Name Nama TengahMiddle Name Nama BelakangLast Name
Wajib untuk Individu Lokal : KTP, NPWP
Wajib untuk Individu Asing : Paspor
Mandatory for local investor : ID Card, Tax ID
Mandatory for foreign investor : Passport Thn Year Tgl Date BlnMonth Pasca Sarjana (S2) Post Graduate SMP Secondary School Doktor (S3) Doctoral SMA/SMK High School Lainnya Others Diploma Sarjana (S1) Bachelor Protestan
Christian KatolikCatholic Hindu Kong Hu Cu LainnyaOthers
Budha
12. Pekerjaan : Pelajar/Mahasiswa Ibu Rumah Tangga Wiraswasta/Pengusaha Occupation
TNI/POLRI Pensiun Dosen/Pengajar/Guru
13. Deskripsi Pekerjaan Nasabah Wiraswasta :
14. Penghasilan per tahun : < Rp 10 Juta
Student Housewife Entrepeneur Military Retired Lecturer/Teacher
Nature of Business for Entrepeneur
Income per annum < IDR 10 Mio
PNS/BUMN Pegawai Swasta
Civil Servant/Government Owned Private Sector
Lainnya Others
> Rp 500 Juta – 1 Milyar > IDR 500 Mio – 1 Bio > Rp 10 – 50 Juta > IDR 10 – 50 Mio > Rp 100 – 500 Juta > IDR 100 – 500 Mio > Rp 50 – 100 Juta > Rp 1 Milyar > IDR 50 – 100 Mio > IDR 1 Bio Thn Year Tgl Date BlnMonth Thn Year Tgl Date BlnMonth Thn Year Tgl Date BlnMonth Thn Year Tgl Date BlnMonth Thn Year Tgl Date BlnMonth
15. Sumber Dana : Penghasilan Keuntungan Bisnis Bunga Simpanan Warisan Dari Orang Tua/ Anak Hibah Dari Suami/ Istri Undian Hasil Investasi Lainnya
16. Alamat Korespondensi :
Kota Propinsi
Negara Kode Pos
Telepon Rumah Kode Area No Telp Handphone
No Fax Alamat Email 17. Alamat Lainnya :
(KTP, Kantor atau rumah)
Kota Propinsi
Negara Kode Pos
Telepon Rumah Kode Area No Telp Handphone
No Fax Alamat Email 18. Deskripsi/Informasi Tambahan :
19. Rekening Bank : (1) Nama Bank (minimal 1, maksimal 3)
(1) No Rekening Bank Kode Cabang No Rekening (1) Kode SWIFT
(1) Nama Pemilik Rekening
(1) Mata Uang Rupiah (2) Nama Bank
(2) No Rekening Bank Kode Cabang No Rekening (2) Kode SWIFT
(2) Nama Pemilik Rekening
(2) Mata Uang Rupiah (3) Nama Bank
(3) No Rekening Bank Kode Cabang No Rekening (3) Kode SWIFT
(3) Nama Pemilik Rekening
(3) Mata Uang Rupiah
20. Tujuan Investasi : Mendapatkan kenaikan harga Investasi (pilihan lebih dari satu diperkenankan)
Mendapatkan Penghasilan/ Pendapatan Lainnya
Source of Fund Income Business Profit Interest Heritage From parents/children Grant From husband or wife Lottery Investment Return Others
Correspondence Address
City Province
Country Post Code
Home Phone Area Code Phone Number Mobile Phone
Fax Number Email address
Other Address
(ID card, Office or Residence)
City Province
Country Post Code
Home Phone Area Code Phone Number Mobile Phone
Fax Number Email address Description/Additional Information
Bank Name Bank Account (min 1, max 3)
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
Account Currency IDR
Bank Name
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
Account Currency IDR
Bank Name
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
Account Currency IDR
Price appreciation Investment Investment objectives
(may choose more than one option) Return Others
Spekulasi Speculation Dollar Amerika USD Euro Dollar Amerika USD Euro Dollar Amerika USD Euro
NASABAH INSTITUSI
INSTITUTION INVESTOR
1. Nama Lengkap Nasabah : 2. Kode SWIFT :
3. Tarif Pajak :
4. Domisili : Lokal
5. Tipe Perusahaan : Perusahaan Yayasan Dana Pensiun
6. Karakteristik Perusahaan : BUMN/Negeri Swasta
Penanaman Modal Asing Perusahaan Keluarga 7. NPWP (wajib untuk institusi lokal) : No NPWP
Tanggal Registrasi Tgl Bln Thn
8. Surat Keterangan Domisili - SKD : No SKD (wajib untuk institusi asing)
Tanggal Kadaluwarsa Tgl Bln Thn
9. Tempat & Tanggal Pendirian Perusahaan : Tempat Pendirian
Tanggal Pendirian Tgl Bln Thn
10. Nomor Anggaran Dasar Perusahaan : 11. Nomor Surat Ijin Usaha (SIUP) :
12. Pejabat Berwenang - minimal 1, maksimal 4 : Full Name of Investor
BIC Code Tax Rate
Legal Domicile National/Local
Type of Business Corporate Foundation
Pension Fund
Company Characteristic Government Owned Private Foreign Investment Company Family Business Tax ID (mandatory for local company) Tax ID Number
Registration Date Date Month Year
COD Number Certificate of Domicile - COD
(mandatory for foreign institution) Expiry Date Date Month Year Place & Date of company establishment Place of Establishment
Date of Establishment Date Month Year Number of Article of Association
Business registration certificate no./ Business Permit Number
Authorized Person - min. 1, max. 4
Mohon isi formulir di bawah ini dengan lengkap dan benar
Please fill in this form with complete and valid information
Asing Overseas, ____________ Reksa Dana Mutual Fund Sosial Afiliasi Social Affiliation Lembaga Keuangan Financial Institution Perusahaan Efek Securities Company Asuransi Insurance Lainnya Others Joint Venture Lainnya Others
Nama Lengkap Pejabat Berwenang 1 Posisi KTP No KTP Paspor No Paspor NPWP No NPWP KIMS No KIMS KITAS No KITAS KITAP No KITAP
Full Name of Authorized Person 1 Position
ID Card ID Card Number Tanggal Kadaluwarsa Expiry Date Passport Passport Number
Tanggal Kadaluwarsa Expiry Date Tax ID Tax ID Number
Tanggal Registrasi Registration Date
Temporary Entry Permit Temporary Entry Permit Number Tanggal Kadaluwarsa Expiry Date
Temporary Staying Permit Temporary Staying Permit Number Tanggal Kadaluwarsa
Expiry Date
Permanent Residence Permit Permanent Residence Permit Number Tanggal Kadaluwarsa
Expiry Date Kartu Identitas Pejabat Berwenang 1
(min. 1, max. 4)
Wajib untuk Individu Lokal: KTP Wajib untuk Individu Asing: Paspor ID Card of
(min. 1, max. 4)
Mandatory for local investor: ID Card
Mandatory for foreign investor: Passport
Authorized Person 1
Nama Depan/First Name Nama Tengah/Middle Name Nama Belakang/Last Name
Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear
PT. QUANT KAPITAL INVESTAMA
Nama Lengkap Pejabat Berwenang 2 Posisi KTP No KTP Paspor No Paspor NPWP No NPWP KIMS No KIMS KITAS No KITAS KITAP No KITAP Tanggal Kadaluwarsa Full Name of Authorized Person 2
Position
ID Card ID Card Number Tanggal Kadaluwarsa Expiry Date Passport Passport Number
Tanggal Kadaluwarsa Expiry Date Tax ID Tax ID Number
Tanggal Registrasi Registration Date
Temporary Entry Permit Temporary Entry Permit Number Tanggal Kadaluwarsa Expiry Date
Temporary Staying Permit Temporary Staying Permit Number Tanggal Kadaluwarsa
Expiry Date
Permanent Residence Permit Permanent Residence Permit Number
Expiry Date Kartu Identitas Pejabat Berwenang 2
(min. 1, max. 4)
Wajib untuk Individu Lokal: KTP Wajib untuk Individu Asing: Paspor ID Card of
(min. 1, max. 4)
Mandatory for local investor: ID Card
Mandatory for foreign investor: Passport
Authorized Person 2
Nama Depan/First Name Nama Tengah/Middle Name Nama Belakang/Last Name
Bln Month ThnYear Bln Month ThnYear Bln Month ThnYear Bln Month ThnYear Bln Month ThnYear Tgl Date Tgl Date Tgl Date Tgl Date Tgl Date Tgl
Date BlnMonth ThnYear
Nama Lengkap Pejabat Berwenang 3 Posisi KTP No KTP Paspor No Paspor NPWP No NPWP KIMS No KIMS KITAS No KITAS KITAP No KITAP
Full Name of Authorized Person 3 Position
ID Card ID Card Number
Passport Passport Number
Tax ID Tax ID Number
Temporary Entry Permit Temporary Entry Permit Number
Temporary Staying Permit Temporary Staying Permit Number
Permanent Residence Permit Permanent Residence Permit Number Tanggal Kadaluwarsa Expiry Date Tanggal Kadaluwarsa Expiry Date Tanggal Registrasi Registration Date Tanggal Kadaluwarsa Expiry Date Tanggal Kadaluwarsa Expiry Date Tanggal Kadaluwarsa Expiry Date Kartu Identitas Pejabat Berwenang 3
(min. 1, max. 4)
Wajib untuk Individu Lokal: KTP Wajib untuk Individu Asing: Paspor ID Card of
(min. 1, max. 4)
Mandatory for local investor: ID Card
Mandatory for foreign investor: Passport
Authorized Person 3
Nama Depan/First Name Nama Tengah/Middle Name Nama Belakang/Last Name
Tgl Bln
Date Month ThnYear
Tgl Bln
Date Month ThnYear
Tgl Bln
Date Month ThnYear
Tgl Bln
Date Month ThnYear
Tgl Bln
Date Month ThnYear
Tgl Bln
13. Alamat Perusahaan :
Kota Propinsi
Negara Kode Pos
Telepon Kode Area No Telp
Handphone pejabat berwenang No Fax
Alamat Email 14. Sumber Dana : Hasil Usaha
15. Informasi Keuangan 3 tahun Tahun ke-1/ Tahun ke-2/ Tahun ke-3/ terakhir - Aset :
16. Informasi Keuangan 3 tahun Tahun ke-1/ Tahun ke-2/ Tahun ke-3/ terakhir - Operating Profit :
Company Address
City Province
Country Post Code
Phone Area Code Phone Number
Mobile Phone of Authorized Person Fax Number
Email address Source of Fund Business Profit
First Year Second Year Third Year
Financial information for the last three years - Assets
First Year Second Year Third Year
Financial information for
the last three years - Operating Profit
Dana Pensiun
Pension Funds Bunga SimpananInterest Hasil Investasi
Investment Return LainnyaOthers
< Rp 100 miliar < Rp 100 miliar < Rp 100 miliar
Rp 100 miliar – Rp 500 miliar Rp 100 miliar – Rp 500 miliar Rp 100 miliar – Rp 500 miliar Rp 500 miliar – Rp 1 triliun Rp 500 miliar – Rp 1 triliun Rp 500 miliar – Rp 1 triliun Rp 1 triliun – Rp 5 triliun Rp 1 triliun – Rp 5 triliun Rp 1 triliun – Rp 5 triliun
> Rp 5 triliun > Rp 5 triliun > Rp 5 triliun
< IDR 100 billion < IDR 100 billion < IDR 100 billion
IDR 100 billion – IDR 500 billion IDR 100 billion – IDR 500 billion IDR 100 billion – IDR 500 billion IDR 500 billion – IDR 1 trillion IDR 500 billion – IDR 1 trillion IDR 500 billion – IDR 1 trillion IDR 1 trillion – IDR 5 trillion IDR 1 trillion – IDR 5 trillion IDR 1 trillion – IDR 5 trillion > IDR 5 trillion > IDR 5 trillion > IDR 5 trillion
< Rp 1 miliar < Rp 1 miliar < Rp 1 miliar
Rp 1 miliar – Rp 5 miliar Rp 1 miliar – Rp 5 miliar Rp 1 miliar – Rp 5 miliar Rp 5 miliar – Rp 10 miliar Rp 5 miliar – Rp 10 miliar Rp 5 miliar – Rp 10 miliar Rp 10 miliar – Rp 50 miliar Rp 10 miliar – Rp 50 miliar Rp 10 miliar – Rp 50 miliar
> Rp 50 miliar > Rp 50 miliar > Rp 50 miliar
< IDR 1 billion < IDR 1 billion < IDR 1 billion
IDR 1 billion – IDR 5 billion IDR 1 billion – IDR 5 billion IDR 1 billion – IDR 5 billion IDR 5 billion – Rp 10 billion IDR 5 billion – Rp 10 billion IDR 5 billion – Rp 10 billion IDR 10 billion – IDR 50 billion IDR 10 billion – IDR 50 billion IDR 10 billion – IDR 50 billion > IDR 50 billion > IDR 50 billion > IDR 50 billion
Nama Lengkap Pejabat Berwenang 4 Posisi KTP No KTP Paspor No Paspor NPWP No NPWP KIMS No KIMS KITAS No KITAS KITAP No KITAP
Full Name of Authorized Person 4 Position
ID Card ID Card Number Tanggal Kadaluwarsa Expiry Date Passport Passport Number
Tanggal Kadaluwarsa Expiry Date Tax ID Tax ID Number
Tanggal Registrasi Registration Date
Temporary Entry Permit Temporary Entry Permit Number Tanggal Kadaluwarsa Expiry Date
Temporary Staying Permit Temporary Staying Permit Number Tanggal Kadaluwarsa
Expiry Date
Permanent Residence Permit Permanent Residence Permit Number Tanggal Kadaluwarsa
Expiry Date Kartu Identitas Pejabat Berwenang 4
(min. 1, max. 4)
Wajib untuk Individu Lokal: KTP Wajib untuk Individu Asing: Paspor ID Card of
(min. 1, max. 4)
Mandatory for local investor: ID Card
Mandatory for foreign investor: Passport
Authorized Person 4
Nama Depan/First Name Nama Tengah/Middle Name Nama Belakang/Last Name
Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear Tgl
Date BlnMonth ThnYear
PT. QUANT KAPITAL INVESTAMA
19. Tujuan Investasi : Mendapatkan kenaikan harga Investasi Spekulasi (pilihan lebih dari satu diperkenankan)
Mendapatkan Penghasilan/ Pendapatan Lainnya 20. Dewan Komisaris/Dewan Pengawas :
21. Dewan Direktur/Dewan Pengurus :
22. Susunan Kepemilikan - untuk kepemilikan 25% atau lebih, harus diuraikan sampai Ultimate Beneficial Owner :
23. Tercatat di Bursa Efek : Ya Tidak
24. Kebijakan Mengenai Prinsip Mengenal Nasabah dan Tindak Anti Pencucian Uang :
Price appreciation Investment Speculation Investment objectives
(more than one option is acceptable) Return Others Board of Commissioner/
Supervisory Board
Board of Director/Executive
Ownership Structure - for ownership of 25% or more, must be elaborated further up to Ultimate Beneficial Owner
Listed in Stock Exchange Yes, ______________________ No
Policy on Know Your Client (KYC) and Anti Money Laundering (AML)
Nama / Name Posisi / Position
Nama / Name Kepemilikan (%) / Ownership (%) Nama / Name Posisi / Position
1. Apakah organisasi Anda memiliki SOP (Standard Operating Procedure) dan kontrol internal tertulis yang memadai (termasuk anti tindak pencucian uang jika dipersyaratkan)?
2. Apakah organisasi Anda memenuhi regulasi (termasuk fungsi kepatuhan jika dipersayaratkan)? 3. Apakah organisasi Anda pernah terlibat kasus hukum atau dilaporkan pailit (termasuk diantaranya
tindak pencucian uang dan pendanaan terorisme)?
4. Apakah organisasi Anda sedang dikenai larangan untuk berinvestasi dan/atau untuk mengajukan pinjaman oleh regulator?
5. Apakah organisasi Anda mengalami tren penurunan bisnis?
Does your organization have Standard Operating Procedure and sufficient written internal control (including anti money laundering if required)?
Does your organization comply with regulation (including compliance function if required)? Does your organization have been involved in law case or reported for bancrupty (including anti money laundering and terrorism financing)?
Is organization banned to invest and/or to submit credit application by regulator? Does your organization experience business downturn?
Ya Tidak Yes No Ya Tidak Yes No Ya Tidak Yes No Ya Tidak Yes No Ya Tidak Yes No 17. Deskripsi/Informasi Tambahan :
18. Rekening Bank : (1) Nama Bank (minimal 1, maksimal 3)
(1) No Rekening Bank Kode Cabang No Rekening (1) Kode SWIFT
(1) Nama Pemilik Rekening
(1) Mata Uang Rupiah Dollar Amerika Euro (2) Nama Bank
(2) No Rekening Bank Kode Cabang No Rekening (2) Kode SWIFT
(2) Nama Pemilik Rekening
(2) Mata Uang Rupiah Dollar Amerika Euro (3) Nama Bank
(3) No Rekening Bank Kode Cabang No Rekening (3) Kode SWIFT
(3) Nama Pemilik Rekening
(3) Mata Uang Rupiah Dollar Amerika Euro Description/Additional Information
Bank Name Bank Account (min 1, max 3)
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
Account Currency IDR USD
Bank Name
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
Account Currency IDR USD
Bank Name
Bank Account Number Branch Code Account Number BIC Code
Account Holder Name
SYARAT & KETENTUAN
(diisi oleh nasabah individual & nasabah institusi)
TERMS & CONDITION OF MUTUAL FUND TRANSACTION
(filled by individual & institution investor)
Dengan menandatangani Formulir Pembukaan Rekening & KYC ini,
saya/kami sebagai Nasabah menyatakan bahwa hal-hal sebagai berikut:
By signing this Opening Account and KYC Form, I/we as Investor state the following:
Tempat / Place Tanggal / Date
Tanda Tangan, Nama Jelas dan Cap Perusahaan (jika ada) Signature(s), Full Name and Company Stamp (if any)
Sesuai dengan Peraturan Badan Pengawas Pasar Modal No. V.D.2 lampiran kepada Keputusan Ketua BAPEPAM dan LK No. KEP-20/PM/2004 tanggal
29 April 2004, bahwa setiap Manajer Investasi Reksa Dana atau Agen Penjual Efek Reksa Dana wajib mensyaratkan Nasabah untuk mengisi Formulir
Profil Pemodal Reksa Dana sebelum melakukan Pembelian Unit Penyertaan Reksa Dana untuk pertama kali di Manajer Investasi atau Agen Penjual Efek
Reksa Dana yang ditunjuk oleh Manajer Investasi.
In accordance with the Regulation of Capital Market Supervisory Board No. V.D.2 attachment Chairman of Bapepam - LK Decree No. KEP - 20/PM/2004
dated April 29, 2004, that any investment Manager of Mutual Fund or Selling Agent shall require the customer to fill out Form for Mutual Fund Investors
profile making a purchase of Units of Mutual Fund for the first time in the Investment Manager or Selling Agent appointed by Investment Manager.
Nama/
Name:
PERNYATAAN/STATEMENT:
Dengan menandatangani formulir ini saya menyatakan bahwa :
By signing this form, I declare that :
• Saya menyadari dan memahami sepenuhnya profil risiko Investasi saya
I realize and fully understand my investment risk profile
• Pembelian reksa dana yang saya lakukan semata-mata adalah keputusan dan keinginan saya sendiri tanpa adanya paksaan dari pihak manapun
Purchasing mutual funds that I do is purely my own decision and desire without any coercion from any party
Jangka Waktu Investasi
Investment Horizon
< 1 tahun
1-3 tahun
3-5 tahun
>5 tahun
< 5%
5% - 10%
11% - 25%
>25%
< 50%
26% - 50%
11% - 25%
<10%
Kurang
Less
Cukup
Quite
Baik
Good
Baik Sekali
Excellent
Kurang
Less
Cukup
Quite
Baik
Good
Baik Sekali
Excellent
Total Poin
Total Points
Keamanan
Dana Investasi
Security of
Investment
Pendapatan dan
Keamanan Dana
Investasi
Income and
Security of
Invesment
Pendapatan dan
Pertumbuhan
Jangka Panjang
Income and
Long Term
Growth
Pertumbuhan/
Growth
1 2 3 4 5 6Total Poin
Total Points
Profil Risiko Investasi
Investment Risk Profile
Konservatif
Conservative
Cocokkan total poin Anda dengan profil risiko investasi berikut ini :
Match your points investment risk profile following :
Tujuan Investasi
Investment Objective
Tingkat risiko kerugian yang sanggup
Anda tanggung dan modal investasi Anda
Risk level of that is able borne
Persentase investasi reksa dana ini
terhadap aset lancar Anda (kas, deposito,
reksa dana obligasi, saham, dan sebagainya
Financial condition of the invesment fund
investor related to the amount of investment
to be invested through the investment fund
Tingkat pengetahuan Anda terhadap Industri
reksa dana secara umum
Level of knowledge of the investment fund
investor about investment fund industry in
general
Tingkat pengetahuan Anda terhadap produk
reksa dana yang dimiliki
Level of knowledge of the investment fund
investor about investment fund product owned
1
2
Tuliskan Poin
Jawaban Anda
Please write
your point
Poin Jawaban
Answer Point
3
4
Moderat
Moderate
Agresif
Aggressive
6 – 12
13 – 18
19 – 24
FORMULIR PROFIL PEMODAL / INVESTOR PROFILE
Tempat:__________________Tanggal:__________________
Place
Date
NASABAH INDIVIDUAL
INDIVIDUAL INVESTOR
Ketersediaan
Availability
NASABAH NON-INDIVIDUAL
NON-INDIVIDUAL INVESTOR
Ketersediaan
Availability
Dokumen
Document
Fotokopi NPWP
Fotokopi Surat Keterangan Domisili Fotokopi Anggaran Dasar Fotokopi Akta Pendirian Fotokopi TDP
Fotokopi Ijin Usaha dari Instansi yang Berwenang Surat Penunjukan POA
Fotokopi Kartu Identitas Pejabat Berwenang Contoh Tanda Tangan Pejabat Berwenang Laporan Keuangan (terbaru)
Struktur Organisasi
Struktur Kepemilikan/Struktur Pendiri - sampai Ultimate Beneficial Owner
Dokumen Lainnya (jika ada) Copy of Tax ID
Copy of Certificate Of Domicile Copy Article of Association Copy Deed of Establishment Copy of Company Registration Copy Business License Letter of POA
Copy of ID Card of Authorized Person
Sample of Authorized Signatories of Authorized Person Financial Report (latest)
Organization Structure
Ownership Structure-up to Ultimate Beneficial Owner Other Documents (if any)
VERIFIKASI DOKUMEN/VERIFICATION DOCUMENT
Tanggal VerifikasiVerification Date TglDate BlnMonth ThnYear
DAFTAR DOKUMEN YANG DIPERSYARATKAN/REQUIRED DOCUMENTS
UNTUK KEPERLUAN PERUSAHAAN / FOR COMPANY USE ONLY
F F F
Dokumen
Document
otokopi KTP otokopi Paspor otokopi NPWPDokumen Lainnya (jika ada) Copy of ID Card
Copy of Passport Copy of Tax ID
Other Documents (if any)
Catatan
Note
Catatan
Note
Marketing Operation Compliance
