Name / Nama
Age / Usia
Address
Mobile Phone
Name / Nama
Age / Usia
Mobile Phone
Title / Jabatan
Notes :
1 2
Materai 6000
Participant Signature Email to : ef.indagro146@gmail.com
Please attach also Start Up Business Proposal on email which consist of Brand Logo and Owner Photo
Please describe your proposal in 3 paragraphs words : Contact Person / Perwakilan / Team