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    RNF-supplier Registration Form Revisi

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    dion kece
    This document is a supplier registration form for PT Rekso Nasional Food (McDonald's Indonesia). It requests information about CV. Putri Pratama Teknik such as the company's address, tax ID number, services offered including AC maintenance and repair, quality certifications if any, bank account details, and key contacts for sales, operations, and finance. The form must be certified by the company director and includes spaces for review and approval by McDonald's procurement and compliance teams.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    RNF-supplier Registration Form Revisi

    Uploaded by

    dion kece
    30 views3 pages
    This document is a supplier registration form for PT Rekso Nasional Food (McDonald's Indonesia). It requests information about CV. Putri Pratama Teknik such as the company's address, tax ID number, services offered including AC maintenance and repair, quality certifications if any, bank account details, and key contacts for sales, operations, and finance. The form must be certified by the company director and includes spaces for review and approval by McDonald's procurement and compliance teams.

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    1. RNF-supplier registration form revisi

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    This document is a supplier registration form for PT Rekso Nasional Food (McDonald's Indonesia). It requests information about CV. Putri Pratama Teknik such as the company's address, tax ID number, services offered including AC maintenance and repair, quality certifications if any, bank account details, and key contacts for sales, operations, and finance. The form must be certified by the company director and includes spaces for review and approval by McDonald's procurement and compliance teams.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views3 pages

    RNF-supplier Registration Form Revisi

    Uploaded by

    dion kece
    This document is a supplier registration form for PT Rekso Nasional Food (McDonald's Indonesia). It requests information about CV. Putri Pratama Teknik such as the company's address, tax ID number, services offered including AC maintenance and repair, quality certifications if any, bank account details, and key contacts for sales, operations, and finance. The form must be certified by the company director and includes spaces for review and approval by McDonald's procurement and compliance teams.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    PT REKSO NASIONAL FOOD (McDONALD's INDONESIA)

    SUPPLIER REGISTRATION FORM


    (All questions must be answered. Please do not leave blanks. You may use NONE or N/A where appropriate)

    GENERAL
    Company Name *) CV.PUTRI PRATAMA TEKNIK

    Company Address (sesuai Akta Pendirian) *) Btn Kelapa Gading Blok C0-05,Kota Palu,Sulawesi Tengah

    Company Address (Korespondensi) *) Jl.Juanda,Lolu Utara,Kec.Palu Sel.,Kota Palu,Sulawesi Tengah 94111

    Telephone Number 082399440626

    Fax Number

    E-mail Address (Company) [email protected]

    Website Address

    Date of Establishment/ Incorporation 17 Februari 2017

    Registered Number of Company

    Registered Address (if different from above)

    Please provide copy of Surat Keterangan Terdaftar, Kartu NPWP and Surat Pengukuhan Pengusaha Kena Pajak (PKP)
    Tax ID/ NPWP Number *)

    Type of Company (please select one) PERSEROAN KOMANDITIER (CV)

    Provide a brief description of your Company Please provide current and valid copy of certificate of incorporation/ business certificate
    Penyediaan,pemeriksaan,dan perawatan Air Conditioner

    GOODS AND SERVICES OFFERED


    List the goods and services offered by your 1) BARANG BERUPA SPARE PART AC
    Company 2) MAINTENANCE AC DUCTING,CASSETTE,AND SPLIT
    3) PERBAIKAN AC
    4) PENGGANTIAN SPARE PART
    5) PENGADAAN AC SPLIT

    Does your Company have Quality Assurance


    Certification (e.g. ISO certification) YES/ NO (if yes, please provide copy of certificate)

    FINANCIAL

    Bank Name *)

    Bank Address *)

    Account Name *)

    Bank Account Number *)

    Note : *) Data yang di isi dalam kolom ini harus sama dengan data dalam Invoice

    Page 1 of 3
    PT REKSO NASIONAL FOOD (McDONALD's INDONESIA)
    SUPPLIER REGISTRATION FORM
    (All questions must be answered. Please do not leave blanks. You may use NONE or N/A where appropriate)

    CUSTOMER RELATIONSHIP MANAGEMENT


    (wajib diisi & dikirim ke RNF setiap ada perubahan)

    Data of Key Contact (Owner atau level tertinggi)

    Name IBRAHIM

    Telephone

    Mobile 082399440626

    Fax

    E-mail Address [email protected]

    Data of Sales Contact (Marketing Dept)

    Name IBRAHIM

    Telephone

    Mobile 082399440626

    Fax

    E-mail Address [email protected]

    Data of Technical / Operational Contact (untuk dicantumkan di PO & konfirmasi PO)

    Name IBRAHIM

    Telephone

    Mobile 082399440626

    Fax

    E-mail Address [email protected]

    Data of Finance/ Accounting Contact (untuk konfirmasi pengiriman bukti transfer pembayaran)

    Name IBRAHIM

    Telephone

    Mobile 082399440626

    Fax

    E-mail Address [email protected]


    Is your Company currently involved in any legal
    disputes? YES/ NO (if yes, please explain)

    Page 2 of 3
    PT REKSO NASIONAL FOOD (McDONALD's INDONESIA)
    SUPPLIER REGISTRATION FORM
    (All questions must be answered. Please do not leave blanks. You may use NONE or N/A where appropriate)

    CERTIFICATION
    I, the undersigned, warrants that the information provided in this form is correct and, in the event of changes, details will be
    provided as soon as possible

    Name : IBRAHIM Title / Function :DIREKTRIS

    Signature Date: 28 Juni 2023

    Company Stamp

    PT REKSO NASIONAL FOOD - PROCUREMENT DEPT

    Review by :Name Ibrahim Title / Function: Buyer Signature……………...Date:………………………

    Review by :Name Ratna Supriyati Title / Function: Manager Signature……………...Date:………………………..

    Review by :Name Duddy S Lasmana Title / Function: Ass. Dir Signature……………...Date:………………………..

    Review by :Name Ronni Rombe Title / Function: Director Signature……………...Date:………………………..

    COMPLIANCE OFFICER

    Review by :Name………………..…… Title / Function: Director Signature……………...Date:………………………

    KATEGORI PENDAFTARAN VENDOR

    Request by : Department : Signature……………………Date:…….………..

    Jasa Yang diberikan: Perawatan dan Perbaikan AC

    Alasan pendaftaran Vendor :

    Kelengkapan Dokumen : Masa Aktif Pendaftaran :

    Tanggal Pendaftaran Vendor 28 Juni 2023 Req Temr Of payment (TOP) :

    Page 3 of 3

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