Application
Form for Institutional Customer
Download the Application Form for
Institutional
Customer
To open the Account Application, you will need Adobe Acrobat 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. Statute and its changes including the document of the last directors/commisioner appoinment
2. The required licenses in relatation with the business execution
3. NPWP (Tax Payer I.D Number)
4. TDP/WDP (Company Registration Letters)
5. The photocopy of directors' I.D card (KTP) and/or the authorized party on the account
6. Signature speciments of all authorized parties
7. Last Financial Statement
Send them 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