170236 form pendaftaran keikutsertaan cebit
FORMULIR KEIKUTSERTAAN CeBIT
Hannover – Jerman, 20 - 24 Maret 2017
Bekraf dan Kementerian Perindustrian
INSTANSI
: ______________________________________________________________________
NAMA PERUSAHAAN
: ______________________________________________________________________
ALAMAT
: ______________________________________________________________________
______________________________________________________________________
CONTACT PERSON
: ______________________________________________________________________
JABATAN
: ______________________________________________________________________
TELEPON / HANDPHONE
: ______________________________________________________________________
FAX
: ______________________________________________________________________
E-MAIL
: ______________________________________________________________________
TIPE
:
NAMA PRODUK
: ______________________________________________________________________
DESKRIPSI PRODUK
: ______________________________________________________________________
APLIKASI
GAME
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPESIFIKASI TEKNIS PRODUK
: ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Demikian formulir kesediaan ini dibuat dan saya menyatakan akan mengikuti peraturan yang telah dibuat oleh
penyelenggara maupun pelaksana pameran.
Contact Person:
08119193311 (Sdri. Tika Yulia)
081282067181 (Sdra. Harry Mulia)
e-Mail: [email protected]
......................................... 2017
(....................................................)
Hannover – Jerman, 20 - 24 Maret 2017
Bekraf dan Kementerian Perindustrian
INSTANSI
: ______________________________________________________________________
NAMA PERUSAHAAN
: ______________________________________________________________________
ALAMAT
: ______________________________________________________________________
______________________________________________________________________
CONTACT PERSON
: ______________________________________________________________________
JABATAN
: ______________________________________________________________________
TELEPON / HANDPHONE
: ______________________________________________________________________
FAX
: ______________________________________________________________________
: ______________________________________________________________________
TIPE
:
NAMA PRODUK
: ______________________________________________________________________
DESKRIPSI PRODUK
: ______________________________________________________________________
APLIKASI
GAME
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPESIFIKASI TEKNIS PRODUK
: ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Demikian formulir kesediaan ini dibuat dan saya menyatakan akan mengikuti peraturan yang telah dibuat oleh
penyelenggara maupun pelaksana pameran.
Contact Person:
08119193311 (Sdri. Tika Yulia)
081282067181 (Sdra. Harry Mulia)
e-Mail: [email protected]
......................................... 2017
(....................................................)