Online Application

Membership Application

Personal Data.
First Name(*)

Please type your first name
Last Name(*)

Please type your last name
Date of Birth(*)

Please type your date of birth

Please click the pop up calendar
Citizenship(*)

Please type your citizenship
Business Data
Company Name(*)

Please type your company name
Occupation(*)

Please type your occupation
Line Of Business(*)

  Trading/ Importer/ Exporter/ Supplier
  Manufacturer
  Consultant/ Planner/ Designer/ Engineering
  Contractor
  Property Developer
  Mining/ Oil & Gas
  Information Technology
  Others (please describe)
Please thick your line of business

  Please thick your line of business
Describe Your Business

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Please describe your business type, specialty, brand etc.
About Golf
Your Home Course

1. 2. 3. 4. 5.Invalid Input

Home Course / Handicap Index (issued by the golf course).
For example : 1. Damai Indah BSD /18
Your Favourite Course in Jakarta and its surrounding area

1. 2. 3. 4. 5.Invalid Input

(please rank)
Your Contact Detail
Telephone(*)

Please type your telephone number
Mobile Phone(*)

Please type your mobile phone number
E-mail(*)

Invalid email address.
Address(*)

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Date of Submission(*)

Please type your date of submission

Please click the pop up calendar
Membership fee will be informed to you based on pro rata of the annual year by the month you start to join.

Upon you are approved as Member, please send your payment by tranfer to:
PROPCON GOLF CLUB,
Bank BCA, KCP Suryopranoto, Jakarta,
Acc # 261-3030352.

Please fax the bank receipt to our office or please fill in the on-line Payment Confirmation .
Thank you.

Note : The rows with (*) should be filled in properly

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