REFUND APPLICATION / AUTHORITY

REFUND NUMBER: 4000727900

Date of Application: 14DEC22 STAT: I Status: CHANGED BY AGENT

TO: 738 VIETNAM AIRLINES JSC FROM: 15-32711 5 PT. BAYU BUANA TBK
Address: 200 NGUYEN SON STREET Address: EQUITY TOWER, GROUND FLOOR UNI

LONG BIEN DISTRICT Hanoi B 1 J L . J E N D S U D I R M A N K A V . 5 2 - 5 Jakarta

000000 12190
VIETNAM Indonesia
Telephone: 0 0 0 0 0 0 Telephone: 2 1 2 9 0 3 5 0 1 0
Fax: Fax:
AIRLINE CONTACT: PHAM THU HA AGENT CONTACT: PT. BAYU BUANA TRAVEL
Email: vinhdx@vietnamairlines.com apticket@bayubuanatravel.com;
Phone/Fax: 2 4 1 2 4 1 6 nandang@bayubuanatravel.com;
Email:
office@bpd.bayubuanatravel.com;
refund@bayubuanatravel.com
Phone/Fax: 2 9 0 3 5 0 1 0
PASSENGER NAME: CHAE/HEE BUM MR
REASON FOR REFUND:
REFUND TICKET VIETNAM AIRLINES
CANCEL FEE IDR 790000

DOCUMENTS For REFUND: ORIGINAL ISSUE DETAILS:

Airline Form and Serial No. C p n s Date of Issue Waiver Code Airline Serial No 738 1020191178
738 1020191178 2 24NOV22 Issuing Agent: 15327115 PT. BAYU BUANA TBK
Date (DDMMMYY): 2 4 N O V 2 2
CNJ
Place (city code): CGK
CNJ
CNJ
CNJ
CNJ
FORM OF PAYMENT
C a s h : Yes
Cash Amount: 1 1 7 9 9 0 0

MSCA: No 0
Partial Refund: Yes Net Remit: No TOUR CODE:
Electronic Ticket Auth Code:
CURR Code: IDR
GROSS FARE 4504000
Less Gross Fare Used 2880000
Total Gross Fare Refunded 1624000
Commission 135120
Tax JC 314400
Tax C4 31500
Cancellation Penalty CP 790000
Misc Fee MF 0
REFUND TO PASSENGER 1179900
 User Information

DOCUMENT: 4000727900

User Name Phone Mail Status

apticket@bayubuanatravel.com;
PT. BAYU BUANA nandang@bayubuanatravel.com; OPERATION COMPLETED ON
1532711 29035010
TRAVEL office@bpd.bayubuanatravel.com; 2022-12-14 10:47:55 MODIFIED
refund@bayubuanatravel.com
apticket@bayubuanatravel.com;
PT. BAYU BUANA nandang@bayubuanatravel.com; OPERATION COMPLETED ON
1532711 29035010
TRAVEL office@bpd.bayubuanatravel.com; 2022-12-14 10:47:30 PENDING
refund@bayubuanatravel.com