Indonesian Medical Device Import Permit Application Form
About this free form template

Streamline Your Indonesian Medical Device Import Applications with Paperform

Importing medical devices into Indonesia requires careful navigation of the country's regulatory framework, including permits from the Ministry of Health (Kemenkes), product registration numbers, and proper distributor licensing. This Indonesian Medical Device Import Permit Application Form template helps healthcare equipment suppliers, distributors, and medical technology companies compile all necessary documentation and information in one professional, organized submission.

Why This Template Works for Medical Device Importers

Indonesia's medical device regulations require detailed documentation about the product, its intended use, manufacturer credentials, and local distribution arrangements. This template structures your application to capture everything from NIK and NPWP tax numbers to technical specifications and safety certifications—reducing back-and-forth with regulatory authorities and speeding up approval timelines.

The form guides applicants through company information, product details, registration documentation, intended medical use declarations, and distributor license verification. Conditional logic ensures that only relevant questions appear based on device classification and import purpose, creating a streamlined experience that saves time for both applicants and reviewing officials.

Built for Indonesian Healthcare & Medical Supply Industries

This template is specifically designed for:

  • Medical device distributors and importers applying for import permits with BPOM (Badan Pengawas Obat dan Makanan)
  • Healthcare equipment suppliers bringing diagnostic, therapeutic, or surgical devices into the Indonesian market
  • Medical technology companies establishing distribution partnerships and compliance for new product lines
  • Hospital procurement teams coordinating direct imports of specialized medical equipment
  • Regulatory consultants managing multiple device registrations for healthcare clients

The form collects essential Indonesian regulatory identifiers including NIK (Nomor Induk Kependudukan), NPWP (Nomor Pokok Wajib Pajak), SIUP (Surat Izin Usaha Perdagangan), and other business licensing documentation that authorities require for import approval.

Automate Your Regulatory Workflow with Stepper

Beyond collecting application data, you can use Stepper to transform each submission into a complete regulatory workflow. Automatically route applications to compliance officers for internal review, send follow-up emails requesting missing documentation, update your CRM or internal tracking spreadsheet, and notify relevant team members when permits are approved or additional information is needed.

Stepper's AI-native workflow builder can also help you maintain audit trails, track application status across multiple products, and ensure consistent communication with Indonesian regulatory authorities—all without writing a single line of code.

Professional, Compliant, and Easy to Customize

This template balances professional presentation with ease of use. You can customize the form to match your company's branding, add your logo, adjust terminology to match specific device categories, or include additional fields for particular regulatory requirements your business encounters.

With Paperform's document-style editor, you can quickly add context, guidance text, or regulatory references that help applicants complete the form correctly the first time. Conditional logic shows or hides sections based on device classification (Class I, II, III, or IV), import purpose, or whether products have existing international certifications.

Secure, Compliant Data Handling

Medical device import applications contain sensitive business information, technical specifications, and regulatory documentation. Paperform is SOC 2 Type II compliant and offers enterprise-grade security features including SSL encryption, data residency controls, and role-based permissions to ensure your application data remains confidential and secure throughout the approval process.

Start Your Indonesian Import Application Today

Whether you're a first-time importer or managing ongoing device registrations, this template provides the structure and professionalism Indonesian regulatory authorities expect. Customize the form to your specific needs, connect it to your internal systems via Stepper, and start collecting complete, accurate import permit applications that move through approval faster.

Paperform is trusted by over 500,000 teams worldwide for regulatory forms, compliance documentation, and business workflows that require both flexibility and security.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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