TRAVEL AND ACCOMODATION FORM

From : Aji Wicaksono

Division : EVOS LEGENDS Please select one
Event : Flight Coach EVOS LEGENDS [Bjorn Ong] EVOS
Date Submitted : 5 January 2023 WHIM
CREATORY

Departure details
No Full Name Title National ID Date of Birth Destination of Departure Date of Departure Transportation Type Reference Link Timeslot Baggage (kg) Estimatted Price
1 Bjorn Ong Tuan K2592066D 08 April 1994 Jakarta - Singapore 23 January 2023 Flights JKT > SG 09.00 - 11.00 WIB 20kg Rp1,500,000
2 ................. - .................. Flights
3 ................. - .................. Flights

Return details
No Full Name Title National ID Destination of Return Date of Return Transportation Type Reference Link Timeslot Baggage (kg) Estimatted Price
1 Bjorn Ong Tuan K2592066D 08 April 1994 Singapore - Jakarta 30 January 2023 Flights SG > JKT 19.00 - 22.00 SGT 20kg Rp2,000,000
2 ................. - .................. Flights
3 ................. - .................. Flights

Accomodation details
No Name of Hotel PIC of Guest Length of Stay (days) Check in Date Check out Date Check in Time Reference Link Who Stay the number of guests Estimatted Price
1
2
3

Note :
KTP must be attached
Passport must be attached (if destination overseas)

Submitted by, Known & Approved by, Approved by,

Aji Wicaksono M Refie Fakhreno

Title : Team Manager Title : Head Of Esports General Affair
Date : 5 January 2023 Date : Date :