Membership Renewal - Indonesian Business Centre

IBC Privilege Card Renewal Form for Year 2017

Renew your IBC membership now to enjoy our programme immediately :

Privilege Renewal For The Year 2017

Type of Renewal *
Company *
No. of Staff *
Address *
Postal code *
Product/Services Offered

Particular 1

Salutation
Name 1 *
Scanned passport size photograph
Scanned NRIC (Front & Back)
Designation *
Date of birth *
Age *
Income
Residence
Contact Number (Home)
Fax
Handphone *
Nationality
Email Address *

Particular 2

(Applicable if renewing COR membership only)

Scanned company registration
Salutation 2
Name 2
Scanned passport size photograph 2
Scanned NRIC (Front & Back) 2
Designation 2
Date of birth 2
Age 2
Income 2
Residence 2
Contact Number (Home) 2
Fax 2
Handphone 2
Nationality 2
Email Address 2

Payment

Cheque No./ Bank *
Amount
Scanned Cheque Upload

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Fields mark with (*) are compulsory

“Cheque can be made payable to “INDONESIAN BUSINESS CENTRE“.Please post your payment together with a printed copy of this Application Form, a passport size photo, copy of NRIC (front and back) and ROC / Practising Certificate for Professional to
Indonesian Business Centre, Raffles City, P O Box 0583, Singapore 911720