HOTEL BOROBUDUR
Jalan Lapangan Banteng Selatan
Jakarta-INDONESIA
Tel.: (6221) 380-5555
Fax.: (6221) 380-9595

ROOM RESERVATION FORM

THE REGIONAL FORUM
JAKARTA, INDONESIA, 3-5 SEPTEMBER 2001

 

NAME:__________________________________________________________________________________

                              (Last Name)                         (First Name)                              (Other Name)

INSTITUTION / TITLE:_________________________________________________________________

COMPANY/POSITION : _______________________________________________________________

OFFICE MAILING ADDRESS : ______________________________________________________________

TEL./FAX NO : ___________________________________________________________________________

EMAIL : __________________________________________________________________________________

PASSPORT DETAILS :

PASSPORT NO.: _________________________________ PLACE OF ISSUES _______________________

DATE OF ISSUE : ______________  VALID : ______________ NATIONALITY :  __________________

DATE/PLACE OF BIRTH : ________________________________ SEX : ____________________________

ARRIVAL DATE : ____________________ FLIGHT NO : _______________ ETA : __________________

NUMBER OF ROOM : _________________________________ TYPE : ____________________________

REMARKS : ______________________________________________________________________________

                                                                                    PLACE / DATE : ________________________________

                                                                                    SIGNATURE : __________________________________

  • Room Reservation Form should be returned by facsimile (62-21) 386-5152
    Attn. Ms. Lisa Medianti (Tel. 62-21) 380-5555 ext. 74007).

 

 

THE REGIONAL FORUM
“BUSINESS OPPORTUNITIES AND SUSTAINABLE DEVELOPMENT –
PARTNERSHIP STRATEGIES”
JAKARTA, INDONESIA, 3-5 SEPTEMBER 2001

A T T E N D A N C E    F O R M

 

N A M E : ________________________________________________________________________________

                                    (Last Name)                         (First Name)                                     (Other Name)

  • Please indicate your attendance in the Regional Forum as a speaker, chair or participant.

INSTITUTION / TITLE : _________________________________________________________________

COMPANY / POSITION : __________________________________________________________________

OFFICE MAILING ADDRESS : ___________________________________________________________

TEL./FAX NO : ___________________________________________________________________________

EMAIL : ________________________________________________________________________________

PASSPORT DETAILS :

PASSPORT NO.: _________________________________ PLACE OF ISSUES _____________________

DATE OF ISSUE : ______________  VALID : ______________ NATIONALITY :  __________________

DATE/PLACE OF BIRTH : ________________________________ SEX : __________________________

ARRIVAL DATE : __________________  FLIGHT NO. ________________ ETA : ___________________

SIGNATURE : ____________________________ PLACE / DATE : ________________________________

NOTE :

To facilitate hotel reservations, participants are requested to complete and submit the attached Room Reservation Form at an early date and send directly both to the Hotel and to the designated official of the Organizing Committee, Ms. Retno L.P. Marsudi or Mr. Winardi Hanafi Lucky (Fax. (62-21) 385-7315).

The Room Reservation Form should be sent before August 29, 2001 with credit card guarantee.  Due to the tourist peak season, reserved rooms allocated by the Organizing Committee can only be guaranteed until that date.