Application Form for Individual Customer
Download
the Application Form for 
individual
customer
To open the Account Application, you will need Adobe Acrobar Reader TM. If you don't have the software, you can download it here
After you download the Account Application and fill in the information required, don't forget to attach these documents with your Account Application:
1. I.D Card (KTP) or Passport/Temporary I.D card for foreigners (KITAS)
Send it via courier to:
Customer Services Department
Samuel Sekuritas Indonesia, PT
customerservices@e-samuel.com
Menara Imperium Lt. 16 Unit B
Jl. HR Rasuna Said Kav. I
Jakarta 12980 - Indonesia
Telp. +6221 8282083 (Direct)
+6221 83701608 (Hunting)
Fax. +6221 83701609
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