UMKM Data Collection — Batulayang Village

Business Identity

Basic information about the business owner and location

Business Name *

Owner Name *

NIK (National ID Number) *

Family Card Number (No. KK) *

Phone Number *

RW *

RT *

Business Address *

Details about the type and nature of your business

Business Type *

Please specify other business type *

Main Product/Service *

Business Start Year *

Business Location Type *

Please specify other location *

Check all licenses and certificates your business currently has

Select all that apply:

Business License (NIB)

Nomor Induk Berusaha

Halal Certificate

Halal Certification

PIRT Permit

Home Industry Food Production Permit

Tax ID (NPWP)

Nomor Pokok Wajib Pajak

Other Licenses/Certificates

Select all marketing channels your business uses

Tap to select (multiple choices allowed) *

Help us understand your business challenges and training needs

Main Business Challenge

Training Needed

I am willing to join training programs

Check this if you're interested in participating

Data Entered By

Auto-filled from neighbourhood head. You can edit if needed.