We would like to be registered as member of: (Wir beantragen hiermit die ordentliche Mitgliedschaft in der) GERMAN-INDONESIAN CHAMBER OF INDUSTRY AND COMMERCE (EKONID ®) 1.
a) b)
2.
Name of Company (Firmenname) Company legal status (Unternehmen Rechtsstatus)
: _______________________________________________________ : (PT, CV, Firma) _______________________________________________________
Name/Position of the board of directors: (Name/Position der Vorstandsmitglieder) a)
__________________________________
b) __________________________________ 3.
Company Address (Strasse) City/Post code (Ort/Postleitzahl) Telephone (Telefon) P.O. Box Email
_____________________________________
d) _____________________________________
: ______________________________________________________________________ : :
______________________________________________________________________ Fax. : ____________________________ ___________________________________
: ______________________________________________________________________ : Homepage : ________________________ _______________________________
4.
a)
5.
Business Activities (Beschäftigungsbereich)
:
Date of foundation (Gründung)
:
6.
c)
All correspondence to be forwarded to: Mr. / Mrs.: Position : (Korrespondenz, Veröffentlichungen und (Herrn/Frau) (Position) Sonstige Mitteilungen der Kammer sind zu richten an) _______________________________________________________ b) Email : _______________________________________________________________
_______________________________________________________________ No. of employees : (dd/mm/yy) (Anzahl _____________________ Beschäftigte)
__________________
We have read the Article of the Association and fully agreed to accept it. We agree to pay our annual membership contribution at the amount of: (Grundlage unserer Mitgliedschaft ist die Kammersatzung in ihrer zur Zeit gültigen Form. Der Jahresbeitrag beträgt zur Zeit) € 500 (small, mid size companies) € 1,000 (big companies)
Place: (Ort)
Date : _____________________ (Datum) __________________
Signature/Company Stamp/Stamp Duty (Unterschrift/Firmenstempel)
Registration Form Eng-Ind (OM-01)
Please send / fax this Membership Registration form To: Mrs. Mei Tobing Phone: 021-315 4685, Fax: 021-315 5276 Email:
[email protected]