regform-amf – Catalogue Adiwana

Unit Name

Arrival Date

Departure date

Reservation No

Pax

Room type

Title

Surname

First Name

Remark Billing Instruction

Nationality

Date Of Birth

ID & Card Number

Date of Expired

Company

Telephone/Whatsapp

Address

Town

Post Code

Country

Term of rest payment for room & Other ( Contact less Payment Process )

Allergic / Dietary

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The Hotel will not take any responsible for loss money, jewelry or valuables left in the room. Safety Deposit Box is available for free to keep your valuables belonging in your room.

I acknowledge that I am fully understood that hotel will deliver an industry defining standard of cleanliness, disinfection and physical distancing during pandemic outbreak and standard operations will be upgrade to relate with the prevention of pandemic outbreak

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Passport Photo

Medical Certificate

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