Partnership Collaboration Form

We welcome various partnership opportunities related to advancing culture, particularly in disseminating Balai Media Kebudayaan content through diverse forms of collaboration with stakeholders, tailored to the needs and objectives of each institution.

Please wait for the next update on Partnership

Applicant Information

Full Name

If applying as an institution, enter the contact person's name

Institution / Organization Name

If applying as an individual, enter your full name

Contact Person

If applying as an individual, enter your full name

E-mail

Phone Number / WhatsApp

Website / Social Media

If applying as an individual, enter your personal website/social media

Province

Regency

Address

Partnership Information

Initiative/Program Title

Field

Brief Description

Partnership Purpose

Start Date

End Date

Partnership Province

Partnership Regency

Partnership Address

Planned Form of Cooperation

Support expected from Balai Media Kebudayaan

Contribution offered by applicant

Attachment

Proposal / TOR

Upload File

PDF, XLS, XLSX, CSV, DOC, DOCX (max. 5MB)

Institution Profile / Portfolio

Upload File

PDF, XLS, XLSX, CSV, DOC, DOCX (max. 5MB)

Cover Letter

Upload File

PDF, XLS, XLSX, CSV, DOC, DOCX (max. 5MB)

Declaration

The data I provided is accurate and may be used by Balai Media Kebudayaan for further processing.

Cancel