Corporate Service Registration

PIC Name *

PIC Position *

PIC Email *

PIC Phone Number * Prefer a WhatsApp-reachable number for easier communication.

Installment Payment *

No (Paid in full) Yes, 2 Installments Yes, 3 Installments

Contract Signing by *

CEO / President Director Director Other

If "Other", provide the signatory's name and position.

Number of Legal Standing * Company deed, appointment decree, or other authorization reference.

Services * Select one or more services.

SROI Social Innovation Study Life Cycle Assessment Sustainability Report ESG-SR Consulting PROPER Assistance

* Service fee: Rp95.000.000,00 per selected service. Transportation and accommodation for offline reviewer visits are billed separately.

Estimated Date of Assessment Meeting 1 *

Estimated Date of Assessment Meeting 2

Estimated Date of Assessment Meeting 3

Offline Meeting *

All Virtual Meeting 1 Meeting 2 Meeting 3

+ =

UI GreenMetric Corporate Service Form