Registration

Company Details

Travel Agency Name *

(e.g. PT. ABC Travel)

District / State *

Number of Stores *

(Number of your agency locations/stores)

Number of Users *

(Number of Sign in that needs access to our LionAirThai Online Portal)

GST Details (Mandatory for Indian Agents)

GST Number *			(Enter the 15 character GST Number)
GST Address *
GST PhoneNo *
GST Email Address *

Travel License Details

Company Type *

* (Private or Public Company)

Company Number *

* (Your Official Company Registration Number)

Tourism Registration num *

Contact Details

Manager's First Name *

Last Name

(Your Person In charge for LionAirThai Air Account)

Email Address *

(Please note that we will send our promotion information to this email address)

Website

Phone Number *

Fax Number

After Hours

Mobile

Address Details

Address 1 *

Address 2

City *

Postcode *

State *

Country *

1. Nomor Surat Izin Tempat Usaha (SITU) *	*
a. Berlaku Sampai (Validity)	(dd/mm/yyyy)
2. Nomor Surat Izin Usaha Perdagangan (SIUP) *	*
a. Berlaku Sampai (Validity)	(dd/mm/yyyy)
3. Nomor Tanda Daftar Perusahaan *	*
a. Berlaku Sampai (Validity)	(dd/mm/yyyy)
4. Nomor Pokok Wajib Pajak *	*
a. Berlaku Sampai (Validity)	(dd/mm/yyyy)
5. Nomor Surat Izin Usaha Pariwisata *	*
a. Berlaku Sampai (Validity)	(dd/mm/yyyy)
6. Nomor Pendirian *	*
a. Tanggal	(dd/mm/yyyy)
Fotocopi document tersebut di atas harus di serahkan ke kantor perwakilan LionAirThai Air setempat.

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