BHA Partner Registration

Please complete all fields highlighted with *

Partnership Tier *

Nama Perusahaan * Name of the company

Logo * Max height 80px, (PNG Only)

Surat Ijin Usaha Perusahaan * Company operation license

Surat Ijin Usaha Perusahaan File * Company operation license file

Surat Ijin Tempat Usaha * Place of business permit

Surat Ijin Tempat Usaha File * Place of business permit file

Akta Pendirian Perusahaan File * Act of establishment file

Company Website * Format https://www.example.com

Company Address

Company Phone * Format +62xxxxxxxxxxxx

Contact Person PIC *

Email PIC *

Mobile Phone Number PIC * Format +62xxxxxxxxxxxx

Nationality of PIC *

Campaign URL Format https://www.example.com

Corporate Partners