Membership Registration

Registration Form

Company Information Form

Company Name

Agency Name

Agency Lead Name

Position

Code

Agency Lead's Mobile Number

Agency Lead Email

Acting on behalf of (Company/PT)

Business Scope (select more than one if applicable)*

Advertising Digital Activation Media

Company Details

Company Address

Company Email

Contact Person Name

Code

Contact Person Mobile Number

Contact Person Email

HR Representative Name

HR Representative Email

Finance Head Name

Finance Head Email

Supporting Documents for Changes (if applicable)

Along with the P3I Jakarta Member Data Update Form and Company Profile, we attach the following supporting documents:

1. Softcopy of Company Deed of Establishment and Latest Amendments, along with Business License (SIUP) and Company Registration Certificate (TDP) specifically for advertising and marketing communication services, valid under Law No. 40 of 2007.

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2. Softcopy of Business Domicile Certificate (NIB) that is still valid.

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3. Softcopy of Taxpayer Identification Number (NPWP) Certificate, along with a copy of the most recent Annual Tax Return (SPT) receipt from the relevant Tax Office.

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By completing and submitting this P3I Jakarta Member Data Update Form, we confirm that all company information and supporting documents provided are accurate and valid.