Peta Dan Form

Annex 3. Map of Venue and Hotel

Address: The Jayakarta Bali Jl. Werkudara, PO BOX 3244 Legian, Kuta, Bali, Indonesia

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Form International Business Meeting on Indonesia Overseas Workers 30-31 March 2009, Bali, Indonesia

Annex 4 Registration Form

Registration Form for Invited Participant (Please type or print) This Registration Form should be returned by e-mail or fax to Business Meeting Secretariat, BNP2TKI, to any of these [email protected]; [email protected]; [email protected]; email addresses: [email protected] or fax to +62-21-79190366 or 79199420. In addition please attach to this form your short curriculum vitae. 1. 2. 3. 4.

5. 6. 7. 8. 9.

Name (as entered on passport)

:

Title of present official position

:

Organization represented

:

Mailing address (office) Telephone number Fax number E-mail address Nationality

: : : : :

Gender

:

Date of birth:

:

Passport number (Valid through)

:

Accommodation required

:

( ) Male

( ) Female

( ) Yes［Jayakarta Hotel *1］ ( ) Non smoking room ( ) Smoking room *1: Hotel booking for Standard Single Occupancy room with breakfast. If you require any other room’s type, please let us know. Participant will bear the cost of accommodation. ( ) No *2 [other accommodation] *2: If you will be arranging other accommodation by yourself without Secretariat's assistance, you would cover meeting package worth Rp. 275.000. Please let us know the address, telephone and fax number of your accommodation in Bali.

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Term of Payment

:

( ) Cash (transfer to Bank Mandiri) Addr. Jl. Teuku Umar No. 85 Denpasar, Bali Indonesia, IDR 145 009 2071394). Account Name: JAYAKARTA BALI HOTEL. ( ) Credit Card (No: ......................................, expired date: ......................................)

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Travel information:

:

Participant will bear their cost of transportation, and expected to be arriving on Sunday, 29 March 2009 and departing on Wednesday, 1 April 2009 at evening hours, or on Thursday, 2 April 2009. If you prefer to stay longer, please let us know, since the Secretariat of the Business Meeting will be closed on Tuesday, 31 April 2009 at noon (and expected to leave Bali on Tuesday evening). (1) Arrival at Ngurah Rai, Bali International Airport: Flight No ____________; Date ____________; Time ___________ (2) Departure from Ngurah Rai, Bali International Airport: Flight No ____________; Date ____________; Time ___________

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Airport Transfer

:

Hotel Management will arrange the airport transfer. Upon request, the Secretariat will arrange automobile transportation service for your group with reasonable charge. Please let us know if you will require such service.

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Dietary Requirement

:

(if you have any special dietary requirements, please let us know).

Date

:

Signature : __________________________

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