FORM NUMBER BALI CULINARY PROFESSIONALS & = MEMBER REGISTRATION FORM @ FEE on © @bali_cutinary_protessionals @ bepsecretariategmail.com H Bali Culinary Professionals www.baliculinaryprotesional.com ‘Sens Registration Category : YOUNG CHEF Young Chef cc! O1 Young Chef cc! C1 Fee 300.000,- IDR per year Fee 100.000,- IDR per year “for young chef (YCCI Member) age restriction its (RENEWAL) under 25 years old” PLEASE WRITE IN CAPITAL LETTERS. School / Company Name School / Company Address First Name Family Name Date of Birth Phone Number Home Address Nationality Email Membership Requirment - Personal photo using Chef Jacket 1 pes - Copy of Student ID or personal ID 1 pes Uniform Size : Sign By sO x. O M XXL LO XXXL | Apply for membership and declare the above informations given is correct, im aware and agreed, membership applications only efective upon approved by Board of YCCI Comittee and BCP Commite as mother organizations. Board of BCP Committee The undersigned, Board of committee Bali Culinary Professionals confirms that above candidate fulfils the conditions, for one year active membership period, January - December 2024