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SHIPMENT REGISTRATION FORM

INDAH GROUP No. Registration


Head Office : Jl. Tanah Supriyadi, TB Simatupang No. 7A, Pasar
Rebo, Jakarta IG 2022
Hotline Service : 021 8062 7000
Customer Information
Company Name Contact Information
PT SAFA Agrotek Indonesia Office
Address 6283853289412
Fax
Jl. Raya Roomo No. 387 Roomo Kec. Manyar Kab. Gresik

Main Business Email


Pabrik Pupuk admin@safaagrotekindonesia.com
Shipping Profile
Shipment Frequency Shipment Destination
Weekly : Monthly √ Local Regional √
Shipment Weight National
Average Per Shipment Estimated Revenue Per Month
Service Requirement
Pick Up Address PIC Mobile Phone
Azizah 6283853289412
Jl. Raya Roomo No. 387 Roomo Kec. Manyar Kab. Gresik
Transportation Service
Pick Up Time : By Air
On Call : √ Stand By By Land √ Project
Document Support By Sea
DO/Packing
AWB List Trucking √
Return AWB Return DO √ Document Legality
Other Request
SIUP/NIB https://drive.google.com/file/d/1LPjprJXDri-ZyeSh-TKb9NVz6DBirtZk/view?usp=sharing

NPWP https://drive.google.com/file/d/1qThc0dhqxFxL7Q21OScr6GmvB6GBRrT0/view?usp=shari

Pricing & Invoicing


Rate'S Tax & Insurance PIC Mobile Phone
Publish PPN Azizah 6283853289412
Discount Facture √ Payment
Special P Insurance Cash Credit √

Term Of Payment Via


Two Weeks after received Invoice Transfer Giro Check
Project Agreement √ √

This Agreement Sign In

Gresik, 24 Juni2022

PT. SAFA Agrotek Indonesia PT. INDAH LOGISTIK INTERNASIONAL


as a client

Biqrotul Azizah ……………….. ………………..


Admin Penjualan ……. Kepala Cabang

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