BUSINESS MATCHING

Registration Form (Buyer)

Company Information:

Company Name :

Address :

Email :

Telp :

Website :

Year of Establishment :

Annual Turnover (US$) :

Contact Person Name :

Title or Departement :

Direct Email :

Direct Phone :

Describe your business:

Position: Business Type: Sector of Industry:

Business Description:
Purposes:
We are looking for a suppliers in the following areas:
[ ] Food & Beverages [ ] Agriculture
[ ] coffee and tea [ ] vegetables
[ ] organic product [ ] fruits
[ ] frozen food [ ] livestock
[ ] processed food [ ] meat and poultry
[ ] Textile & Fashion Products [ ] Medical & Pharmaceutical
[ ] ready to wear [ ] Herbal
[ ] batic [ ] Chemical
[ ] traditional fabric
[ ] Beauty and Wellness [ ] Tourism
[ ] Various Handicraft & Gift [ ] Others

Others:

Please bring a company overviwe or brochure

I hereby declare and confirm my acknowledgement, understanding and agreement in respect

of the TERMS AND CONDITIONS annexed to this application form.

I agree that the company information provided in this application may be used by Bank
Indonesia for incorporation in all or any of its database for business matching and for any
other purposes. I confirm that I have the consent of each individual name in this form to
release their personal data for the purposes stated herein.

Name: Signature and Company Chop: Date:xx

For more information, please contact:

secretariat_isef@bi.go.id
info@idhalalcenter.org
BUSINESS MATCHING
Registration Form (Seller)
Company Information:

Company Name :

Address :

Email :

Telp :

Website :

Year of Establishment :

Annual Turnover (US$) :

Contact Person Name :

Title or Departement :

Direct Email :

Direct Phone :

Describe your business:

Position: Business Type: Sector of Industry:
[ ] Food & Beverage
[ ] Textile & Fashion Products
[ ] Medical & Pharmaceutical
[ ] Agriculture
[ ] Tourism
[ ] Beauty and Wellness
[ ] Various Handicraft & Gift
[ ] Others
Business Description:

Registered Certification (please attach a copy of your certificate)

[ ] LPPOM MUI certificate [ ] HACCP
[ ] PIRT [ ] ISO
[ ] BPOM [ ] Other certificate (please
specify)…………………

Product Information:
Product Specify Product Selling
No Price
Description of Usage Quantity

Others:

Please bring a company overview or brochure

I hereby declare and confirm my acknowledgement, understanding and agreement in respect
of the TERMS AND CONDITIONS annexed to this application form.

I agree that the company information provided in this application may be used by Bank
Indonesia for incorporation in all or any of its database for business matching and for any
other purposes. I confirm that I have the consent of each individual name in this form to
release their personal data for the purposes stated herein.

Name: Signature and Company Chop: Date:xx

For more information, please contact:

secretariat_isef@bi.go.id
info@idhalalcenter.org