IHGMA Registration Form Update - Jawabarat

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MEMBERSHIP APLICATION FORM

Date 25 February 2020 Chapter JAWA BARAT


PERSONAL DETAILS
First Name Mr/Mrs/Ms Dinah Last Name Astuti
Middle name (if any) Puja Marital Status Divorced
Nick Name (if Any) Dinah Birthdate 16 Feb 1980
ID No SIM/KTP 3671025602800007 Place of Birth Subang

Home Address Bukit Gading Cisoka Blok A5 No 33 City Tangerang


Selapajang Cisoka Province Banten
Post Code 15710
Email [email protected] Handphone No 081296042849
Facebook Dinah.pujaastuti Twitter dinahpuja
Blog N/A Linkedin Dinah-puja-astuti
Skills MS Office Interest/Hobby Cooking
Coreldraw Travelling
Sales & Marketing

PROFFESIONAL DETAILS
Curent Hotel BATIQA Hotel & Apartments Karawang No of Rooms 137
From Nov 2018 To Present
Star Rating (if any) 3 No of Outlets 1
Chain (if any) BHM Hospitality Occupation General Manager
Hotel Address Kawasan Industri Suryacipta, Jl. Surya City Karawang
Utama C-1, Desa Kutamekar,
Province Jawa Barat
Post Code 41363
Email [email protected] Telp No + 62 21 300 50 400

Previous Hotel Taman Unique Hotel Senggigi No of Rooms 25


From Sep 2017 To Nov. 2018
Star Rating (if any) 3 No of Outlets 2
Chain (if any) n/a Occupation General Manager
Hotel Address Jl. Raya Senggigi Lombok City Lombok Barat
Province NTB
Post Code 83355
Post Code

Education DIII (Chemical Engineering) Certification Pengelola Pemagangan


WORKING EXPERIENCE
Department Position From To Hotel City
A&G GM Nov. Present BATIQA Hotel & Karawang
2019 Apartments
A&G GM Sep. Nov. 2018 Taman Unique Hotel Lombok Barat,
2017 Senggigi NTB
S&M DOS Feb. Sep. 2017 Resinda Hotel Karawang
2015 Karawang by Padma
S&M ADOS Dec Dec 2014 Keraton at The Plaza Jakarta
2013 a Luxury Collection
Hotel, Jakarta
S&M SMM Oct Dec 2013 Hotel Mulia Senayan Jakarta
2012
S&M SM Sep Oct 2012 Mandarin oriental Jakarta
2011 Jakarta
S&M SM Jun May 2011 Aryaduta Lippo Tangerang
2009 Village
S&M Asst. SM Oct May 2009 Traveller Hotel Jakarta
2008 Jakarta
A&G Executive Secretary Sep July 2008 Sheraton Senggigi Lombok, NTB
2007 Beach Resort
S&M Sales & Marketing Jun Sep 2007 Mascot Beach Resort Lombok, NTB
Executive 2006

How do you know about IHGMA √ Friend


Have you been involved in criminal act
√□No □Yes
IN CASE OF EMERGENCY
Relationship to
Name of local friend or relative (not living at same
patient: Work phone
address):
Sibling
+62 813-8161-
Haryono
0631
The above information is true to the best of my knowledge. I understand that I am fully responsible for any any information as stated here. By
signing this registration, I am agree to
- Agree to abide to the regulation as set out by IHGMA (AD/ART)
- Contribute Rp. 500,000 as a registration fee
- Contribute Rp. 300,000 as yearly membership fee
- IHGMA Bandung bank account :
BCA KCU Dago
A/n Iwan Rismawardani / Ahmad Ridwan D
No. Rek : 777.151.8382
- Attend the bi-monthly meeting, if I fail to attend monthly meeting 3 months in a row, my membership will be automatically
invalid/Not Active
Signature
Aplicant : Dinah Puja Astuti Date 25 February 25, 2020

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