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Formulir Nasabah Institusional - Commonwealth Bank

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Berikut ini adalah daftar nama Pihak yang berwenang/diberi wewenang untuk mewakili institusi/organisasi dalam memberikan instruksi investasi harian.<br />

(Following is the list name of Person who are authorized/given authorization to represent institution/organization in providing daily investment instruction)<br />

Nama Lengkap / Full Name 1 2<br />

Nama Depan/Nama Tengah/Nama Belakang<br />

Nama Depan/Nama Tengah/Nama Belakang<br />

(First Name/Middle Name/Last Name)<br />

(First Name/Middle Name/Last Name)<br />

Jabatan (Posisi) / Position<br />

Nomor Identitas / KTP Passport<br />

Identity Card Number KITAS KIMS<br />

KITAP SIM<br />

No :<br />

Tanggal Kadaluarsa<br />

Expired date<br />

(DD/MM/YY)<br />

Nomor NPWP /<br />

Tax File Number<br />

________________________<br />

Tanggal Register<br />

Registration Date<br />

Nama Lengkap / Full Name 3 4<br />

Nama Depan/Nama Tengah/Nama Belakang<br />

Nama Depan/Nama Tengah/Nama Belakang<br />

(First Name/Middle Name/Last Name)<br />

(First Name/Middle Name/Last Name)<br />

Jabatan (Posisi) / Position<br />

Nomor Identitas / KTP Passport<br />

Identity Card Number KITAS KIMS<br />

KITAP SIM<br />

No : _________________________________<br />

Tanggal Kadarluasa ___________________<br />

Expired date (DD/MM/YY)<br />

Nomor NPWP /<br />

Tax File Number<br />

________________________<br />

Tanggal Register<br />

Registration Date<br />

Informasi Rekening <strong>Bank</strong> :<br />

(<strong>Bank</strong> Account Information)<br />

Nama <strong>Bank</strong> / <strong>Bank</strong> name 1 1 2 2 3<br />

3<br />

Nomor Rekening <strong>Bank</strong> /<br />

<strong>Bank</strong> Account Number<br />

Kode Identifikasi <strong>Bank</strong> /<br />

<strong>Bank</strong> Identifier Code/BIC<br />

Nama Pemegang Rekening * /<br />

Account holder Name*<br />

Jenis Rekening Mata Uang / Rupiah / IDR Rupiah / IDR Rupiah / IDR<br />

Account Currency Dollar Amerika Serikat / USD Dollar Amerika Serikat / USD Dollar Amerika Serikat / USD<br />

Lainnya / Others ______________ Lainnya / Others____________ Lainnya/Others<br />

* Nama Pemegang Rekening harus sama dengan Nama <strong>Nasabah</strong><br />

(Account holder name must be the same with Customer Name)<br />

Informasi Keuangan: Aktiva / Asset Laba Operasi / Operating Profit<br />

(Financial Information)<br />

Tahun ke-1 / 1st year<br />

Tahun ke-1 / 1st year<br />

< Rp. 100 milyar (< IDR 100 billion) < Rp. 1 milyar (< IDR 1 billion)<br />

Rp. 100 milyar - Rp. 500 milyar (IDR 100 billion - IDR 500 billion)<br />

Rp. 1 milyar - Rp. 5 milyar (IDR 1 billion - IDR 5 billion)<br />

Rp. 500 milyar - Rp. 1 Triliun (IDR 500 billion - IDR 1 Trillion)<br />

Rp. 5 milyar - Rp. 10 milyar (IDR 5 billion - IDR 10 billion)<br />

Rp.1 Triliun - Rp. 5 Triliun (IDR Trillion - IDR 5 Trillion)<br />

Rp. 10 milyar - Rp. 50 milyar (IDR 10 billion - IDR 50 billion)<br />

Rp. > 5 Trilliun ( > IDR 5 Trillion)<br />

Rp. > 50 milyar ( > IDR 50 milyar)

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