Formulir Registrasi
Registration Form
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Nama Perusahaan *
Name of Company
Alamat Perusahaan *
Company Address
Alamat Email *
Email Address
Website *
Website
Akun Media Sosial : (Instagram  & LinkedIn) *
Social Media Account : (Instagram  & LinkedIn)
Narahubung / Contact Person
Nama & Jabatan *
Name & Designation
No. HP *
Mobile Phone Number
Jenis Usaha atau Organisasi / Business Sector or Organization Type
 Choose either business sector (if it is company) or organization
Sektor Usaha / Business Sector
Clear selection
Kategori Organisasi / Organization Category
Clear selection
Lain-lain (sebutkan)
Others (please specify)
Working Group
Di working group mana Anda akan bergabung sebagai anggota SSI Indonesia? *
In which working group will you join as a member of SSI Indonesia?
Profil Singkat Perusahaan / Organisasi dan motivasi bergabung dengan SSI Indonesiaa *
Short Profile of Company / Organization and motivation of joining SSI Indonesia
Fokus komoditas: Komoditas rempah apa saja yang menjadi fokus organisasi Anda? *
Commodity Focus: Which spice commodities does your organization focus on?
Wilayah Kerja: Di lokasi mana sajakah organisasi Anda beroperasi/memproduksi/membeli komoditas rempah, atau memiliki program lapangan terkait rempah? *
Working Areas: In which location(s) does your organization operate/produce/purchase spice commodities, or have field-level programs related to spices?
Jumlah petani yang terlibat: Berapa banyak petani rempah yang terlibat dalam ruang lingkup organisasi Anda, baik dalam hubungan jual beli ataupun program/intervensi lapangan? *
Farmers engaged: How many spice farmers are involved within your organizational scope of work, including trade relations and field-level programs/interventions?
Konfirmasi pemenuhan obligasi finansial iuran keanggotaan tahunan SSI Indonesia sebesar USD 1,000: *
Confirmation to fulfil financial obligations for SSI Indonesia’s annual membership fee of USD 1,000:
Required
Mohon jelaskan bagaimana organisasi Anda dapat memberikan nilai tambah bagi SSI Indonesia *
Please state how your organization can add value for SSI Indonesia
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