@lsca FORMULIR PERMOHONAN KREDIT CREDIT APPLICATION FORM 1__DATA PERUSAHAAN (COMPANY PROFILE) ‘Nama Perusahaan (Company Name) ‘Alamat Perusahaan : (Address) Phone/Fax NPWP (Tax Number) ‘Susunan Pengurus (Board OF Management) ‘Pemegang Saham (Shareholdure) Bagian Pembelian Yang Dihubungi : (Contact for Purchaser) rr ra Bagian Keuangan Yang Dihubungi (Contact for Accounts) Bank No. Rekening (Account Number) 3 2. 3 ‘Asset Total (Total Asset) Omset Pertahun (Tum Over/Yeat) Referensi (reference) ‘Nama Perusahaan (company Name) Nama & No, Telp. (Contact Person & Phone No.) Keterangan I. DATAPROYEK (PROJECT DATA) ‘Nama Proyek (Project Name) Alamat Proyek (project Address) Tel/Fax Phone/Fax) Pemilik Proyek (Project Owner). Total Nilai Proyek : (Total Value) Sumber Dana (Funding) iJangka Waktu Proy(Project Period) UL. IR PEMBAYARAN (PAYMENT PI Jangka Waktu Pembayaran (Credit Terms) Batas Jumlah Kredit yg Disetujui (Credit Limit) Jenis & Nilai Jeminan (Clype & Value Of Guarantee) Q Bank Garansi (Bank Guarantee) DLC Lokal (Letter of Credit LIC) ‘Vang Muka (Down Payment) : IV. DOKUMEN YANG DILAMPIRKAN (SUPPORTING DOCUMENT), ‘Available “Ake Pendirian Perusshaan dan Perubahannya (Article Associate) KTP Pendirian Perusahaan (ID Card) NPWP/PKP (Goverment Tax Number) D ‘SIUP/IUT/SIUSK (Company's Operationaal License) "TDP/TDR (Company's Operational License) ‘Bank Garansi atau L/C Lokal (Bank Guarnatee/Local L/C) Tjin-ijin/Surat Keterangan lainnya (other License) ‘Keanggotaan AKI/Gapensi (Member of Associate Construction) t I Rekening Koran 3 Bln Terakhir YV.KETERANGAN ATAU INFORMASI LAINNYA (OTHER INFORMATION) ‘Saya menyatakan bahwa informasi diatas benar (1/We state the truth of the abave information) Pemohon (Applicant ) ‘Checked by ‘Approved by Director of Com Sales Person Credit Dept Gredit Commitee | (Company Stamp) PT. SCG Readymix PT.SCG Readymix PT. SCG Readymix