This document is a registration form for Garuda Perkasa Securindo PT, a company located in Jl. Gunung Tanjung Bane, North Badung, Bali. The form provides key details about the company including its name, address, contact number, authorized representative (Imade Sumarta, SH), and primary business activity (job placement and staffing services). The form is dated February 9, 2014 and signed by the Head of the Cooperative, SME, Industrial and Trade Agency of Badung Regency, confirming the company's registration.