This is the OFFLINE Reseller Registration page. Please fill in the data in this column correctly and make sure the email address is valid so we can help you properly. Registration will not be processed if the data is incomplete, incorrect, or not in accordance with the allotment of cooperation.

With this I am interested in becoming an OFFLINE Reseller of the product/products below (choose one) *
BUSINESS SOLUTIONS PERSONAL SOLUTIONS

COMPANY DATA

Company Name *

Business Type * Sistem Integrator Managed Service Provider (MSP) Managed Security Service (MSS) Value Added Reseller (VAR) Apps developer Computer/Gadget store Computer services Market place seller Others

Address *

Country * - Select One - Indonesia Timor Leste

Province * -

City * -

ZIP Code *

Website

Phone Number *

CONTACT DATA (President Director/Director stated in AKTA PENDIRIAN PERUSAHAAN, company person in charge). We may request the softcopies of the Articles of Association of the Company whenever deemed required at our own discretion.

Contact person (full name as in Personal ID: KTP) *

Title *

Mobile Phone Number *

Email Address *

CONTACT DATA (Finance/Payment in Charge)

Contact person (full name as in Personal ID: KTP) *

Title *

Mobile Phone Number *

Email Address *

CONTACT DATA (Registrant/Your data)

Contact person (full name as in Personal ID: KTP) *

Title *

Mobile Phone Number *

Email Address *

NPWP

Tax Number *

Company Name *

Address *

Province * -

City * -

ZIP Code *

Upload NPWP * *Format file: .jpg | .jpeg | .png | .pdf
*Max Size: 500KB

Company Size *
Small Company Medium / Big Company

Upload NIB * *Format file: .jpg | .jpeg | .png | .pdf
*Max Size: 500KB

Upload SIUP * *Format file: .jpg | .jpeg | .png | .pdf
*Max Size: 500KB

Upload Company Domicile * *Format file: .jpg | .jpeg | .png | .pdf
*Max Size: 500KB

Note *

Security Code