Form Pendaftaran Kunjungan Wisata
booking enquiry form
Waktu kunjungan [visiting time]
Tanggal berangkat/datang [date of departure/arrival]
*
/
Day
/
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Lama kunjungan [visit duration]
*
untuk saat ini lama kunjungan dibatasi maksimal 1 hari [at this time, visit duration is limited to a maximum of 1 day]
Jumlah pengunjung [number of visitors]
*
1
2
3
4
5
6
7
8
9
10
max:10 orang (max:10 person)
Pintu Masuk Obyek/destinasi wisata yang dituju [entrance travel destinations]
*
Labuan Lalang
Karangsewu
Tegal Bunder
Banyumandi
Kegiatan di dalam Kawasan [activities]
*
Penelusuran Hutan [JungleTrekking]
Menyelam [Scuba Diving]
Snorkeling
Snapshoot photo/camera
Snapshoot video/handycam
Other
Kendaraan [vehicle]
*
Roda 2 [motorcycle]
Roda 4 [car]
Data pengunjung [visitor data]
Nama Guide [Guide Name]
*
jika belum mendapatkan guide diisi dengan (-) [if you haven't gotten the guide filled with (-)]
No.Telp Guide [Guide phone number]
*
jika belum ada guide diisi dengan nomor pemesan [if there is no guide already, filled in with your number]
Data Wisatawan [Tourist Data]
*
Prefix (Mr./Mrs./Ms)
Nama [Name]
Asal Kota/Negara [country of origin]
Jenis Identitas (KTM/KTP/Paspor) [type of identity]
No.Identitas [identity number]
wisatawan 1
wisatawan 2
wisatawan 3
wisatawan 4
wisatawan 5
wisatawan 6
wisatawan 7
wisatawan 8
wisatawan 9
wisatawan 10
Apakah Anda sudah melakukan vaksin ? [Are you already doing vaccine?]
*
Sudah dosis I [ already dose I ]
Sudah dosis II [ already dose II ]
Surat Keterangan [ letter of statement ]
Belum [not yet]
Silahkan Upload bukti vaksin/surat keterangan Anda [Please upload your vaccine certificate/letter]
Browse Files
Cancel
of
Kirim [Submit]
Should be Empty: