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GABUN HOTEL

Camat Gabun II Lenteng Agung Jagakarsa Jakarta Selatan Guest Registration Form
Phone (021) 78888116 Fax (021) 78888671 Email www.smkkn62 -jkt.id

Title Last name First name(s)


Mrs Yulianti Safira
Nasionality INA
Identity Card No (KTP/ PassPort) : Place & Date Issued Jakarta 01th Mei 2021
Home Address : Kp. Srengseng Kel, Lenteng Agung Kec, Jagakarsa Jakarta Selatan

Phone No : Date Of Birth : Bangkalan 07th july 2003

Mobile Phone No : 089652878177


Arrival : 01 Mei 2021 Time : 01.00 PM Departure : 03 Mei 2021 Time : 01.00 PM

Persons
Room Type Number Of Room Remarks
Adult Child
DBL 102 2 2 Extra bed two night
DELUXE
TWIN
DBL
SUPERIOR
TWIN
DBL
MODERATE
TWIN

Company Name : .................................................................................................................................................................................

Address : Kp. Srengseng Kel, Lenteng Agung Kec, Jagakarsa Jakarta Selatan

Contact Person : Mrs. Safira Yulianti Phone No : ..........................................................................................

Email Address :.ylntsafira79798@gmail.com Mobile Phone No : 089652878177


My Account will be Settled by Cash /Credit Card/ Voucher/ Cahrge to : Cash

Credit Card No : ....................................................... Isued Date :........................... Expired Date : .....................................

Credit Card No :...............................................................................................


Special Request :.Extra bed
Thank you for choosing Gabun Hotel. We want to let you know that the front desk is open 24 hours for all your questions and
inquiries. Please don't hesitate to contact us if you have any questions. We are happy to help!
A credit card number and expire date is needed for guarantee. Details will not be shared and will be used for administrative purposes
only. We kindly remind you that the hotel and all rooms are non-smoking and drugs are not tolorated.
If smoking or any drug use is noticed by the hotel management, they are allowed to charge a fine up to Rp.500.000 and proceed an
early check out.
The hotel is not responsible for money, Jewelry or other valuables unless deposited in safe deposited boxes provided for that
purpose.
By signing this form, you agree on following the hotel's house rules and the purpose described above, plus consenting to the usage of
your personal information for administrative and marketing purposes.

By signing this form, I consent to the use of my personal infromation for the purpose described above.

Guest signature Date Checked in by

We respectfully remind you that check-out time is 11:00 AM

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