NO_______________________________________________________________ TGL______________________________________________________________ 2. COPY AKTA PERUBAHAN JIKA ADA PERUBAHAN NO_______________________________________________________________ TGL______________________________________________________________ 3. COPY AKTA SK. MEN. KEHAKIMAN (KHUSUS UNTUK PT) NO_______________________________________________________________ TGL______________________________________________________________ 4. COPY KARTU TANDA PENGENAL PENGURUS _________________________________________________________________ 5. COPY SURAT PENGUKUHAN PENGUSAHA KENA PAJAK (SPPKP) _________________________________________________________________ 6. COPY SERTIFIKAT / SBU NO_______________________________________________________________ TGL______________________________________________________________ 7. COPY SIUP NO_______________________________________________________________ TGL______________________________________________________________ 8. COPY SIUJK (JIKA ADA) NO_______________________________________________________________ TGL______________________________________________________________ 9. COPY TDP NO_______________________________________________________________ TGL______________________________________________________________ 10. COPY SITU / KET. DOMISILI NO_______________________________________________________________ TGL______________________________________________________________ 11. COPY NERACA PERUSAHAAN 12. ASLI REFERENSI BANK / KETERANGAN BANK (ASLI) DAN DITUNJUKAN KE PGE UNTUK PERSYARATAN MENJADI REKANAN (Pemilik Rekening Harus Atas Nama Perusahaan) NAMA BANK_________________________________________________________________ KCP__________________________________________________________________ ATAS NAMA__________________________________________________________________ IDR__________________________________________________________________ USD__________________________________________________________________ 13. COPY NPWP DAN PKP _________________________________________________________________ 14. COPY BUKTI PEMBAYARAN PAJAK setahun terakhir _________________________________________________________________ 15. COPY DAFTAR PENGALAMAN PERUSAHAAN (2 TH TERAKHIR) _________________________________________________________________ 16. SURAT IJIN OPERASIONAL DISNAKER (KHUSUS PENYEDIA TENAGA KERJA) _________________________________________________________________ 17. SURAT PERMOHONAN MENJADI REKANAN _________________________________________________________________
18. COPY SURAT IJIN INDUSTRI DARI DEPERINDAG (KHUSUS UNTUK
PERCETAKAN DAN PERJILIDAN) _________________________________________________________________