Secretariat Asia Africa Smart City Summit 2015: Contact Person : 1
Transcription
Secretariat Asia Africa Smart City Summit 2015: Contact Person : 1
Secretariat Asia Africa Smart City Summit 2015: Contact Person : 1. Emil Fahmi Yakhya 2. Liza Handayani Phone : +62 22 4232338-39/69 Fax : +62 22 4234892 Email : [email protected] Please fill in with block letters and forward by email or fax before 17 th April 2015. I need an Invitation Letter from the committee for Visa Arrangements (for international participants only) For Secretariat Only Date Reg. No PERSONAL INFORMATION Country Name (Mr, Mrs, Ms) Name of Accompanying Person Delegation Upload Your Picture Government & City Council Official Industry Academicians Accompanying Person ORGANIZATION/INSTITUTION INFORMATION Name Position Address Phone Nos. Mobile: Office: Fax: Email Address FLIGHT INFORMATION ARRIVAL Soekarno Hatta International Airport Husein Sastranegara International Airport Flight No. DEPARTURE Soekarno Hatta International Airport Husein Sastranegara International Airport Flight No. SHUTTLE BUS Arrival Soekarno Hatta International Airport to The Trans Luxury Hotel Bandung 21 April 2015 : 10.00 14.00 18.00 20.00 00.00 22 April 2015 : 08.00 10.00 12.00 Husein Sastranegara International Airport to The Trans Luxury Hotel Bandung 21 April 2015 : 08.00 – 00.00 (Every Hour) Time …….. 22 April 2015 : 08.00 – 18.00 (Every Hour) Time …….. ACCOMMODATION Check In – Check Out Room Type Date (dd/mm)/ Time Date (dd/mm)/ Time Departure The Trans Luxury Hotel Bandung to Soekarno Hatta International Airport 24 April 2015 : 04.00 12.00 Departure to Soekarno Hatta International Airport: 7 hours before the flight schedule The Trans Luxury Hotel Bandung to Husein Sastranegara International Airport 24 April 2015 : 06.00 – 22.00 (Every Hour) Time …….. Departure to Husein Sastranegara International Airport: 3 hours before the flight (dd/mm-dd/mm) TWIN SINGLE Hotel Ibis Bandung Trans Studio – 3* (0 km from venue) Number of Night SMOKING NO SMOKING The Trans Luxury Hotel Bandung – 5* (0 km from venue) Room Type/Rate Standard Room (Rp. 700.000,-/room/night) Room Type/Rate Premier Room (Rp. 2.843.500,-/room/night) Premier Room (Rp. 3.872.000,-/room/night) Contact Person Eva Petra P. +62 22 8734 5555; F. +62 22 8734 7777 E. [email protected] Contact Person Agnes Chungafarmodjo P. +62 22 8734 8888; F. +62 22 8734 9999 E. [email protected] To secure the room availability, participants are requested to fill in the attached Form not later than 17 April 2015, and send directly to the respective hotel with a copy to Secretariat Asia Africa Smart City Summit. 1st night non-refundable deposit payment is required upon reservation to confirm the booking and paid directly to the hotel. Any cancellations and booking changes should be sent in writing by fax or email directly to the designated Hotel prior to arrival. Payment by credit card is normally charged in local currency. The subsequent exchanges rates might be applied by the credit card vendors, when your statement is converted into local currency. All room rates offered include daily breakfast and 21% relevant government tax & service charges. Organizing committee provides airport transfer to official hotel v.v. on April 21st, 22nd,23rd and 24th 2015. TYPE OF ACCOMMODATION PAYMENT Type of Card VISA Master Card Name of Card Holder Credit Card Number Expire Date Authorized Amount Card Holder Signature PLEASE KEEP A COPY OF YOUR RECORD 1. All Rooms are on 1st-serve basis. Please book your room immediately or not later than 17 April 2015. 2. Participant are requested to complete and return this Form directly to the selected hotel. Please ensure you receive the hotel confirmation of your booking from the hotel. Signature _____________________________ (with company stamp) Date: _____________________________