Agent Application - Solar Power Indonesia

Agent Application
Name of your company [Nama perusahaan Anda]:
_________________________________
Telephone:
_______________________________
Address [Alamat]:
Fax:
_______________________________
_________________________________
Email:
_______________________________
_________________________________
Website:
_______________________________
_________________________________
Country [Negara]: _____________________________
Company Organization [Organisasi Perusahaan]:
Proprietorship [Perseorangan] _______
Corporation [Perusahaan berbadan hukum] _______
Partnership [Persekutuan] ______
Limited Liability (CV) ____
Date Established [Tanggal berdiri]: ___________
PMA ______
PT ______
Number of Staff [Jumlah Karyawan]: ____
Principal Officers or Owners [Kepala Perusahaan atau Pemilik]:
1. Name [Nama]: ____________________________ Title [Jabatan]: _________________________
Phone: ____________________________
Email: ____________________________
2. Name [Nama]: ____________________________ Title [Jabatan]: _________________________
Phone: ____________________________
Email: ____________________________
3. Name [Nama]: ____________________________ Title [Jabatan]: _________________________
Phone: ____________________________
Email: ____________________________
If you are a subsidiary, list name, and address of parent company [Kalau anda Anak perusahaan,
tolong cantumkan alamat induk perusahaan]:
___________________________________________________________________________
___________________________________________________________________________
List your company's branch offices or representatives [Cantumkan kantor cabang atau kantor
perwakilan Anda]: _______________________________
___________________________________________________________________________
PT Solar Power Indonesia – Agents Application
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Please identify the individual(s) in your company responsible for sales, service, administration,
accounting, marketing, and distribution [Tolong cantumkan nama-nama di perusahaan Anda yang
bertanggung jawab untuk penjualan, service, administrasi, accounting, pemasaran, and distribusi]:
Sales
[Pejualan}: ________________________
Administration
[Administrasi] : _____________________________
Phone: ___________________________
Phone: __________________________________
Email: ____________________________
Email: ___ ________________________________
Purchasing
[Pembelian]: _______________________
Accounting
[Akunting]: ________________________________
Phone: ___________________________
Phone: ___________________________________
Email: ____________________________
Email: ____________________________________
Marketing
[Pemasaran}: ______________________
Distribution
[Distribusi]: ________________________________
Phone: ___________________________
Phone: ___________________________________
Email: ____________________________
Email: ____________________________________
Describe your company's major business activity [Gambarkan kegiatan utama bisnis di perusahaan
Anda]:
___________________________________________________________________________
___________________________________________________________________________
Describe the types of products (including brand name) you sell [Gambarkan tipe produk (termasuk
merek) yang Anda jua]:
___________________________________________________________________________
___________________________________________________________________________
To whom do you sell your products (list key accounts if any)? [Kepada siapa Anda jual produkproduk anda (cantumkan nama klien, kalau ada)?]
___________________________________________________________________________
___________________________________________________________________________
Please describe your primary method(s) for marketing these products [Tolong gambarkan metoda
utama dalam memasarkan produk-produk tersebut]:
___________________________________________________________________________
___________________________________________________________________________
PT Solar Power Indonesia – Agents Application
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Are you currently a representative, distributor or agent for any other companies that manufacture
products similar to ours? [Apakah saat ini Anda sebagai perwakilan, penyalur or agen untuk suatu
perusahaan lain yang menghasilkan produk-produk sejenis dengan kami?]:
Yes [Ya] _____ No [Tidak]_____
If yes, please list names of companies [Jika ya, tolong cantumkan nama perusahaan-perusahaan
tersebut]:
___________________________________________________________________________
___________________________________________________________________________
List the Solar Power Indonesia products that your company would like to sell [Cantumkan produkproduk Solar Power Indonesia yang perusahaan anda mau jual]:
___________________________________________________________________________
___________________________________________________________________________
Will you maintain inventory of representative products? [Maukah Anda merawat inventaris dari
produk-produk perwakilan?] Yes [Ya] ____ No [Tidak] ____
Please describe the area that your company would like to directly sell these products into [Tolong
gambarkan daerah penjualan langsung perusahaan anda untuk produk-produk tersebut]:
___________________________________________________________________________
___________________________________________________________________________
Please list Trade References [Tolong cantumkan Referensi Perdagangan]:
1. Company Name [Nama Perusahaan]: __________________________________________________
Person to Contact/Title:[ Nama yang dihubungi /Jabatan]:___________________________________
Address [Alamat]: __________________________________________________________________
Phone: ___________________________ Email: ________________________________________
2. Company Name [Nama Perusahaan]: __________________________________________________
Person to Contact/Title[ Nama yang dihubungi /Jabatan]: __________________________________
Address [Alamat]: __________________________________________________________________
Phone: ___________________________ Email: ________________________________________
3. Company Name [Nama Perusahaan]: __________________________________________________
Person to Contact/Title[ Nama yang dihubungi /Jabatan]:___________________________________
Address [Alamat]: __________________________________________________________________
Phone: ___________________________ Email: ________________________________________
PT Solar Power Indonesia – Agents Application
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(Company Name - Nama Perusahaan)_____________________________________ is applying for
status as an agent. In doing so, we agree that we will purchase products from Solar Power Indonesia for
resale to individual consumers [mengajukan diri sebagai agen.Jadi, kami setuju bahwa kami akan
membeli produk-produk dari Solar Power Indonesia yang akan dijual lagi ke pelanggan perseorangan].
The person below agrees that he/she is authorized to provide the information contained in this form [Yang
bersangkutan dibawah ini setuju bahwa Dia secara sah menyediakan informasi yang ada di dalam
formulir ini].
.
Signature [Tanda tangan]: ___________________________ Date [Tanggal]: ________________
Printed name [Nama lengkap]: ____________________________________________
THIS INFORMATION WILL BE KEPT CONFIDENTIAL
[INFORMASI INI AKAN DISIMPAN RAHASIA]
Please return to:
[Tolong kirim ke]
PT Solar Power Indonesia.
Lila Nita Complex Unit 3
Jl. By Pass Ngurah Rai 81
Nusa Dua, Bali 80363
INDONESIA
PT Solar Power Indonesia – Agents Application
Phone +62 361 778802
Fax
+ 62 361 778805
email: [email protected]
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