FORMULIR REGISTRASI MITRA

Wajib Diisi Oleh Pihak Hotel:

I. Identitas Hotel:
✓ Nama Hotel :
✓ Alamat Hotel :

✓ PIC :
✓ Kota : Propinsi :
✓ Negara : Kode Pos :

✓ Alamat Website Hotel :

II. Tipe Hotel

✓ Rating Hotel : □1 Star □2 Stars □3 Stars □4 Stars □5 Stars □No Rating
✓ Jumlah Kamar :
✓ Tahun berdiri : year
✓ Renovasi terakhir : year
✓ Jumlah lantai :
✓ Voltase listrik :
✓ Grup Hotel : □ Hotel Chain □ Hotel Individual □ Lainnya:
✓ Jenis Hotel
□ Hotel □ Bed and Breakfast □ Resort □ Homestay
□ Apartment □ Villa □ Camping □ Capsule
□ Guest House □ Hostel □ Glamping □

III. Administrasi Pengguna

✓ Info Administrasi:
i. E-mail :
ii. Nama Lengkap :
iii. Hp :
iv. Telp. Kantor : Fax :
✓ Info Reservasi: □ Sama dengan info administrasi

i. E-mail :
ii. Nama Lengkap :
iii. Hp :
iv. Telp. Kantor : Fax :
✓ Info Finance □ Sama dengan info administrasi

i. E-mail :
ii. Nama Lengkap :
iii. Hp :
iv. Telp. Kantor : Fax :

IV. Fasilitas Hotel

a. General Facility
□ 24-hour Front desk □ Gazebo □ Parking (free) □ Smoking room
□ Air conditioning □ Living room □ Porter/bellhop □ Sundeck
□ Beach □ Lounge □ Public WiFi □ Swimming pool
□ Elevator □ Meeting facilities □ Restaurant □ Terrace
□ Library
b. Hotel Services
□ Concierge services □ Dry cleaning/laundry services □ Newspaper stand
□ Currency exchange □ Luggage store □ Tours

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□ Deposit box □ Multilingual staff □ Wedding services

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c. Food & Drinks
□ Bar/lounge □ Dining room □ Private dining services
□ Beach bar □ Microwave □ Refrigerator
□ Coffee shop or café □ Poolside bar □ Rooftop bar

d. Transportation
□ Airport transfer (free) □ Car park □ Motor rental
□ Airport transfer (surcharge) □ Car rental □ Taxi service
□ Bicycle rental □ Free shuttle □ Valet parking (surcharge)

e. Business Facilities
□ Business center □ Gift shop or newsstand □ Projector
□ Computer station □ Meeting room □ Shopping on site
□ Conference space □ Photocopier □ Theatre or Auditorium

f. Health & Beauty

□ Beauty services □ Massage □ Sauna
□ Doctor on call 24 hours □ Medical services □ Spa
□ Drugstore □ Hair salon

g. Media and Technology

□ Free WiFi □ WiFi (surcharge) □ Wired Internet (Free)
□ Television

h. Sport and Recreation

□ Aerobics □ Casino □ Hiking □ Sailing
□ Archery □ Cycling □ Horse riding □ Snorkeling
□ Badminton□ Darts □ Jet ski □ Surfing
□ Basketball □ Diving □ Karaoke □ Table tennis
□ Billiards □ Fishing □ Mini golf □ Tennis
□ Bowling □ Fitness □ Nightclub □ Volleyball
□ Board game □ Game room

i. In-Room Facility
□ 24hr Room service □ Limited room service □ Wired Internet (Surcharge)
□ Kitchenette

j. Accessibility
□ Accessible bathroom □ Braille or raised signage □ Roll-in shower
□ Accessibility equipment □ In-room accessibility □ Wheelchair Accessible
□ Accessible parking

k. Kids Facility
□ Baby cot □ Kid’s club □ Kid’s pool
□ Babysitting or childcare

l. Bathroom
□ Bathtub □ Shower

m. Pets
□ Pets allowed □ No pets allowed

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V. Harga Kamar
Nama Tipe Kamar Tempat Tidur (Single Ukuran Kamar Harga Kamar Jumlah
/ Double / Twin / Minimal Kamar
Triple)

VI. Rate Plan

Nama Rate Plan Tipe Kamar Harga Kamar Breakfast Jumlah

(Dari Table V) (Yes / No) Allotment
Breakfast 1
2
3
4
5
6
Room Only 1
2
3
4
5
6
Non Refundable 1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6

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 VII. Kebijakan Pembatalan
Pembatalan wajib diberitahu oleh Pelanggan sebelum penggunaan kamar Hotel, yang kebijakan waktunya akan ditentukan
oleh Mitra dari waktu ke waktu, sesuai dengan ketentuan dari partner Tiket.com sebagai berikut:

Nama Rate Plan Apabila tamu Akan dikenakan charge sebesar No Show Policy:
(Dari Table VI) membatalkan (Isi salah satu kolom saja) Akan dikenakan charge sebesar
(Isi salah satu kolom saja)
#Hari sebelum checkin % Night (s) % Night (s)
Breakfast
Room Only

VIII. Rekening Bank

✓ Nama Rekening :
✓ Nomor Rekening :
✓ Kurs : IDR
✓ Nama Bank :
✓ Cabang :
✓ Alamat Bank :
✓ Kota :
✓ Negara :

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