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  • Lion Passport Form

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    Aufa Rafiqi Luthfiyah
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    This document is a membership form requesting personal and employment details. It asks for the applicant's name, address, phone number, date of birth, nationality, ID number, as well as their company name, address, phone number, fax number, email, job title and type of business. The form also requests a signature and for a gold card, two color photos. It states that completed forms should be submitted with ID and flight tickets to the nearest Lion Air office or travel agent.

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    This document is a membership form requesting personal and employment details. It asks for the applicant's name, address, phone number, date of birth, nationality, ID number, as well as their company name, address, phone number, fax number, email, job title and type of business. The form also requests a signature and for a gold card, two color photos. It states that completed forms should be submitted with ID and flight tickets to the nearest Lion Air office or travel agent.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    27 views1 page

    Lion Passport Form

    Uploaded by

    Aufa Rafiqi Luthfiyah
    This document is a membership form requesting personal and employment details. It asks for the applicant's name, address, phone number, date of birth, nationality, ID number, as well as their company name, address, phone number, fax number, email, job title and type of business. The form also requests a signature and for a gold card, two color photos. It states that completed forms should be submitted with ID and flight tickets to the nearest Lion Air office or travel agent.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    FORMULIR KEANGGOTAAN / MEMBERSHIP FORM

    mohon diisi dengan jelas / please print clearly DATA ANGGOTA / PERSONNEL DETAIL

    Nama/Name Mr Alamat rumah/Home address Mrs Ms

    Kota/City Kode pos/Post code No. Handphone/Mobile No . Tanggal lahir/Date of birth Kebangsaan/Nationality No. KTP/Passport ID/Passport No.
    DATA PEKERJAAN / JOB DETAIL

    Tgl/Date

    Bln/Month

    Th/Year

    Nama perusahaan/Company name Alamat perusahaan/Company address Kota/City Kode pos/Post code Jabatan/Job title No telp kantor/Office phone no No fax kantor/Office fax no Alamat email/Email address Bidang Usaha/Type of business Surat menyurat dikirim ke alamat/Preferred address for correspondence Mohon tanda tangan Anda Your signature Rumah/Home Kantor/office

    Nama/Name Tanggal/Date
    Note: Untuk kartu Gold, mohon disertakan foto berwarna Anda 2 buah (2x3cm) For Gold Card, please submit 2 of your color photo (2x3cm)

    Diisi Oleh petugas/to be completed by clerck No. Aplikasi/Application No. No Kartu/Card No. Masa berlaku kartu/Card validity Menjadi anggota sejak/member since
    Kirimkan formulir ini beserta identitas diri dan bukti cover tiket ke kantor Lion Air atau Travel Agent Anda Submit this form include your ID and cover tickets to the nearest Lion Air office or your Travel Agent

    Sampai/until

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