EN | ID
PENDAFTARAN PENUMPANG GARUDA
GARUDA PASSANGER REGISTRATION
Nama
Name
No. KTP
(Hanya untuk WNI)
KTP Number
(for Indonesian Only)
No. Passport
Passport Number
Alamat tinggal sesuai KTP/Passport
Address as Identity Card KTP/Passport
Alamat tinggal saat ini
Current Residence Address
Jenis Kelamin
Sex
Laki-Laki
Male
Perempuan
Female
Tanggal Lahir
Date of Birth
Email
Ulangi Email
Retype Email
{{emailMatchMessage}}
No. Telepon
(kode negara & nomer, contoh 6281123456789)
Phone Number
(country code & phone number, ie 628123456789)
Cabang
Branch
{{ branch.name }}
{{ form.selectedDestination.address }}
{{ form.selectedDestination.phone }}
Lokasi
Maps
Rencana Tanggal Pengambilan Swap/Sample
Arrival date for sampling
Pemeriksaan
Examination
{{ test.name }}
{{paramMessage}}
Mohon diperhatikan jadwal pelayanan pengambilan sampel, waktu pengiriman hasil pemeriksaan, jam pelayanan pengambilan hasil dan jadwal penerbangan anda agar perjalanan anda lancar. Segala keterlambatan/kegagalan dalam proses boarding, imigrasi dan/atau penerbangan adalah tanggung jawab pribadi pelanggan yang menggunakan layanan kami.
Please pay attention to the sampling service schedule, delivery time of inspection results, service hours for results collection and your flight schedule so that your trip is smooth. Any delays/failures in boarding, immigration and/or flight processes are the personal responsibility of customers who use our services.
Saya Setuju.
I agree.
IATA Travel Pass User
IATA Travel Pass User
Yes
No
Nama Maskapai
Airline Name
Nomor Penerbangan
Flight Number
Tanggal Keberangkatan
Travel Date
Jam Penerbangan
Travel Time
Daftar
Register
Proses Pendaftaran
Registration
×
Apakah data yang anda masukan sudah benar?
Are you sure to proccess?
Pendaftaran
Registration
×
{{submitMessage}}