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Vendor Form
Your Name
*
First
Last
Title
*
Email
*
Enter Email
Confirm Email
Mobile Phone
✓ Valid number
✕ Invalid number
Phone Number
*
✓ Valid number
✕ Invalid number
Company Legal Name
*
Company Type
*
Head Office
Representative Office
Subsidiary/Branch
Entity Type
*
Private corporation
Partnership
Publicly listed
Sole proprietor (CV)
Non-profit
Address Line 1
*
Address Line 2
*
City
*
Region
*
Postal Code
*
Country
*
Indonesia
Document Upload PDF Only
Company Profile
*
Accepted file types: pdf, Max. file size: 2 MB.
Tax ID (NPWP)
Accepted file types: pdf, Max. file size: 2 MB.
Taxable Enterprise Confirmation Letter (SPPKP)
Accepted file types: pdf, Max. file size: 2 MB.
Business Registration Number (NIB)
Accepted file types: pdf, Max. file size: 2 MB.
Document Upload PDF Only
Company Profile
*
Accepted file types: pdf, Max. file size: 2 MB.
What describes your company best?
*
Raw material manufacturer
Raw material distributor
Packaging Material
Transporter / Forwarder
Machinery & Equipment
Retailer
Finished goods manufacturer
Services (consulting, legal, IT, Software, training, etc)
Agent
Describes products and/or services you intend to offer to us
In Business Since
*
1900
1901
1902
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1904
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1906
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1911
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2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Company Website
*
Number of Employees
*
<10
11-100
101-1000
1001-5000
5001-10000
>10000
Can your company provide KYC (know your customer) information to us?
*
Yes
No
Annual Turnover is US Dollars
*
less than 1 million
1-5 million
5-10 million
10-50 million
50-100 million
>100m
Does your company manufacture its products in Indonesia?
*
YES
NO
What differentiates your company from your competitors?
*
Have you been a vendor to PT Mowilex before?
NOT SURE
YES
NO
When
Does Your Company
Have Stock Points in Indonesia?
*
YES
NO
Have an environmental policy?
*
YES
NO
Able to calculate corporate carbon foot print (scope 1 and 2 at minimum)
*
YES
NO
NOT SURE
Able to disclose cradle to grave data and product level emissions?
*
YES
NO
NOT SURE
Have anti-money laundering policies
*
YES
NO
NOT SURE
Employ child labor
*
YES
NO
NOT SURE
Employ disability labor
*
YES
NO
NOT SURE
Able to provide banking references
*
YES
NO
NOT SURE
Select all certifications that your company currently maintains
ISO 9001
ISO 14001
ISO 45001
ISO 20400
ISO 31000
OTHER ISO
Net Zero
Other
Other ISO
Other
Please Upload any QHSE certifications
Certificate 1
Accepted file types: pdf, Max. file size: 2 MB.
Certificate 2
Accepted file types: pdf, Max. file size: 2 MB.
Certificate 3
Accepted file types: pdf, Max. file size: 2 MB.
Comments
*
I certify that the above facts are true to the best of my knowledge
I will provide additional information to support above statement as required
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