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CONTRACTOR / COMPANY TO COMPLETE ONLY COLUMN A to U

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ID CARD / KTP - for Indonesian DATE OF ARRIVAL DATE IN ARRIVAL DATE IN FLIGHT ARRIVAL PICK UP DEDICATED / FOOD ALERGIES / EMBARKATION
NO COMPANY FULL NAME M/F EMPLOYEE ID POSITION NATIONALITY PASSPORT - for Foreigners BIRTH RESIDENCE ADDRESS MOBILE PHONE EMAIL ADDRESS INDONESIA BALIKPAPAN DETAILS TIME POINT SHARE LAND REQUIREMENTS CHECK IN PLAN POINT
TRANSPORT
Sepinggan
1 Company DRILLING Aam Supriatna M Operation Geoilogist Indonesian 3273020905810011 9-May-81 Jl.. Dago Barat No. 16 Coblong, Bandung +62 813-4713-1789 aam.supriatna@eni.com 15-Nov-20 GA 566 12.10
Airport
15-Nov-20 Sepinggan Airport

HALLIBURTON - Jl. Pudak Baru RT 10. Pendingin. Sangasanga. Sofyan.Hadi@halliburton.com &


2
BAROID Sofyan Hadi M Filtration Operator Indonesian 6402150408770001 4-Aug-77
Kalimantan Timur
+62 812-5198-6935
Aulia.rahman@halliburton.com
14.00 Private vehicle 15-Nov-20 Sepinggan Airport

HALLIBURTON - Jl. Widya Praja F2/74. RT 05. Sepinggan Baru. sukarta3145@gmail.com &
3
BAROID Sukarta M Filtration Operator Indonesian 6471053103680001 31-Mar-68
Balikpapan Selatan. Kalimantan Timur.
+62 813-4746-7877
Aulia.rahman@halliburton.com
14.00 Private vehicle 15-Nov-20 Sepinggan Airport

HALLIBURTON - Jl. Catur, RT/RW. 008/002, Kel/Desa. Sukomoro, DediElma.Sugianto@halliburton.com &


4
BAROID Dedi Elma Sugianto M Filtration Operator Indonesian 6472031012760006 10-Dec-76
Kec.Sukomoro, Magetan
+62 812-5364-395
Aulia.rahman@halliburton.com
14.00 Private vehicle 15-Nov-20 Sepinggan Airport

HALLIBURTON - Arsul Trafika Tira Jl. Milono, No.04, RT/RW.040/000, Kel/Desa. arsultrafika87@gmail.com &
5 M Filtration Operator Indonesian 6471052008870003 20-Aug-87 Gunung Sari Ilir, Kec. Balikpapan Tengah, 081346273046 14.00 Private vehicle 15-Nov-20 Sepinggan Airport
BAROID Lamawitak Balikpapan
Aulia.rahman@halliburton.com

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506951386.xlsx - Active Quarantine 1 of 8


COMPANY
FULL NAME
M/F
EMPLOYEE ID
POSITION
NATIONALITY
ID CARD / KTP - for Indonesian
PASSPORT - for Foreigners
DATE OF BIRTH
RESIDENCE ADDRESS
MOBILE PHONE
EMAIL ADDRESS
ARRIVAL DATE IN INDONESIA
ARRIVAL DATE IN BALIKPAPAN
FLIGHT DETAILS
ARRIVAL TIME
PICK UP POINT

DEDICATED / SHARE LAND TRANSPORT

FOOD ALERGIES / REQUIREMENTS


CHECK IN PLAN
EMBARKATION POINT
Description
Based on participant company name where they are working
Based on KTP or Passport
Gender (M : Male / F : Female)
Participants employee number
Profession of Job
National identity on KTP or Passport
Identification Number : for local based on KTP & for foreigner based on Passport

Based on KTP or Passport


Valid domicile of residence Participant address
Participant Active telephone number that can be contact
Participant Active Email Address
Date of arrival participant in Indonesia
Date of arrival participant in Balikpapan
Aircraft number used to go to Balikpapan
Time Arrival in Balikpapan according to flight detail
Place to Pick Up
Select dedicated transport if needed

Special request if needed


Date of participant enter Quarantine Facility
Select destination after Quarantine Process completed
Participant
HR
Day - 1 fill the
MPS share the basic table to HR S
Contractor Admi
7 days b

HR Contractor
confirmation about the
information to
Gran Senyiur Coordinator MPS Admission Admin

Admission admin
share check in
Transportation Coordinator schedule to MPS
Team

Platinum Coordinator

the steps that


HR Contractors
have to be aware
ticipant Database Flowchart
HR Contractor
fill the data required MPS Admission admin
Send to check
Admission Admin Room Availability
7 days before check in
plan
Day - 2

Day - 3
Gran Senyiur
HR Contractor Day - 5 Coordinator
confirmation about the
information to
MPS Admission Admin Coordinator
confirm room
availability
Day - 6
Day - 4
Admission admin
share check in
schedule to MPS Admission admin
Team insure hotel
destination to HR
Day - 7 Contractor

Check-In Process

the steps that Maxima's Team


HR Contractors resposibility to do internal
have to be aware coordination to get the precise data
art
dmission admin
check
m Availability

Platinum
Coordinator

oordinator
nfirm room
vailability

Day - 4
ission admin
sure hotel
tination to HR
ontractor

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