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Event Implementation Collaboration Application Form
Partner Identifications
Partner Name
Phone
Email
Address
Product/Service offered
Product/Service Name

Event Description
Topic/Theme
Collaboration with Partner/Principal/Distributor
Event Type
Day
Schedule
Event Request Date
Contribution Amount
Participant Facility

Meetup Request
Contact Person Komitkabe
Date
Note


NOTE
Bank: BCA
Rek: 5775563301
Acc.: Heru Pramono
Kacab: KCP Cibitung

*KOMITKABE is an organization that is not a legal entity (Non NPWP)