winsile2016.files.wordpress.com  · Web viewPlease inform if you need airport transfer for your DEPARTURE from to Jakarta . Yes No. ACCOMMODATIONS . Please choose the room type by

WASH in Schools International Learning Exchange 2016

14th to 18th November, 2016Jakarta, Indonesia

To All Participants: Please return scanned copy of this form to [email protected] and copying to [email protected] before 30 September 2016

A. PARTICIPANT’S INFORMATION Full Name : _____________________________________________________Title : _____________________________________________________Organization : _____________________________________________________Address 1 : _____________________________________________________Address 2 : _____________________________________________________Tel : _____________________________________________________Mobile : _____________________________________________________Email : _____________________________________________________Passport Number : _____________________________________________________

B. TRAVEL Arrival in Jakarta Departure from Jakarta

DateTimeFlight numberTraveling from /to Origin: Destination:Please inform if you need airport transfer for your ARRIVAL to Jakarta

Yes NoPlease inform if you need airport transfer for your DEPARTURE from to Jakarta

Yes No

C. ACCOMMODATIONS Please choose the room type by marking x next to room typeCentury Park Hotel Deluxe Grand Deluxe Any

Check in Date: Check-out Date:*Due to the limited number of rooms, specific types of rooms may no longer be available by the time of your registration. The organizers will allocate requests depending on how early you register.

D. MEAL PREFERENCE All food provided during by the hotels and catering during the event are halal food. Please mark if you need special meals.

Vegetarian No preference Special meals, please indicate : _________________________________________