IBAI Membership Application Form
  1. Membership Application (Please Tick) (*)
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  2. COMPANY DATA
  3. Company Name
    Please type your Company Name
  4. Office Address
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  5. Company Nationality
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  6. Nature Of Business
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  7. Contact Person
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  8. Title/Position
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  9. Telephone
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  10. Facsimile
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  11. Mobile Phone
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  12. E-mail Address
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  13. Secondary Contact Person
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  14. Title/Position
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  15. Mobile Phone
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  16. E-mail Address
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  17. Company Website
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  18. INDIVIDUAL DATA
  19. Name
    Please type your full name.
  20. Nationality
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  21. Address
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  22. Email Address
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  23. Telephone/HP
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  24. Facsimile
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  25. Captcha(*)
    Captcha
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  26.   

IBAI  Italian Business Association in Indonesia

institution partner panel

embassy of italy logo instituto italiano ita logo

business partners panel

kadin indonesia logo   eibn logo

CONTACT US
 
Italian Business Association in Indonesia (IBAI)