ALL RATES ARE SUBJECT TO 21% SERVICE CHARGE & TAX CHECK OUT TIME IS 12.00 PM
TANGGAL KEDATANGAN
ARRIVAL DATE 		TANGGAL KEBERANGKATAN
DEPARTURE DATE 		STATUS
STATUS
JUMLAH KAMAR *
ROOM NUMBER 		JENIS KAMAR *
TYPE OF ROOM 		JUMLAH ORANG
NO. OF PERSONS
NAMA LENGKAP *
FULL NAME 		NOMOR PASSPORT / KTP *
PASSPORT NO.
PERUSAHAAN
COMPANY 		TANGGAL & TEMPAT DIKELUARKAN *
DATE & PLACE OF ISSUE
ALAMAT
ADDRESS 		TANGGAL LAHIR
DATE OF BIRTH
MAKSUD KEDATANGAN
PURPOSE OF VISIT 		KEBANGSAAAN
NATIONALITY
BUSINESS OFFICIAL PLEASURE
CARA PEMBAYARAN
METHODE OF PAYMENT 		JABATAN
OCCUPATION
CASH COMPANY VOUCHER
GEC Member    Non GEC  
Credit Card
Card Number   :
Card Type        :
Expiration Date: Month Year (Range: 1997~2050)

  

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