Sei sulla pagina 1di 4

INDOSAFE PRA'IAMA

To :PT. WARU TEKNIKATAMA Date : November 21sr, 2016


Dept : HRD / HSE / TRAINING RefNo : CL-250/IPEJ-AUXI/2o'16
Attn : Mrs. Ragil Page :1 page

Sub)ect : TRAINING CONFIRMATION LETTER

Dear Mrs. Ragil,


register
Based on your information by phone that we have received on November 21s|, 2016 here we confirm that we have
:

As participants into training with terms and conditions:

Training Program .BASIC SEA, SURVIVAI.


Training Venue : INDOSAFE PMTAMA, Bumi l\y'andirj Tower ll Lt.B/810' Jl. Panglima Sudirman 66-68
Training Date : Wednesday, November 23'd, 2016
Training Time/Duration : 08.00 - 17.00 (Theoretical & Practical) / 1 day
Training Language : Bahasa lndonesia
Training Instructor : Mr. Eriek

operation officer : l\,4r. Agung Contact Number: 08563001816


Validity of Training : 2 (Two) Years

Training Facility : lnclusive (Provided by PT. lndosafe Pratama)


. lnstructor & Facilitators
. certificate of completionand TEining lD Badgefor partjcipant who completed Theoretical and Practical
. Class Room and Practical Area
. LCD Projector and Screen during Theoretical Session
. 2 (two) Coffee Breaks & Lunch
. Class Room Kits & Souvenirs
. Practical Equipment SuPPort
. Report and Documentation

We will charae 3 aanc{rllaiion for each pa*:tipinl aaccrd!ng to ou, pc;;cie$


- 5a%;itte fee wil! Le.:ra.ged if the canceliaiion is.e.{'ived 3days before lhe date
"trairii$
,l0l%of.hefee!E;!lhec']a.ge.t!fthe'a.cel]a.ioiris'eccived.d.yL'efo'etheda'ec'i.ai.ing

For and On Behalf of, Approved by,

./

y'ANt
Name i &cr (
Marketing DeparTment
poiition, -nn+rc-AP-
Date ' 8a'h ' *ot6

PT lndosafe Pratarna I i. I i
Baiikpapar, +62 542-B18676 - 19. Jakarta +62 21-837E1381 - 83 Bu!u't62 /78-133567' S
lll.@
Training Language Bahasa lndonesia / Bilingual

Training Venue Surabaya - Provided by lndosafe Pratama

Training Date To be defined upon approval both parties

Training Time O8.OO - 17.00/Theoretical & Practical

Training Facilities lnclusive (Provided by lndosafe Pratama)


. lnstructor & Assistant
. Certificate completion & lD Card for pa(icipant who compleled both session
. Class Room & Swimming Pool
. LCD Projector / in focus Monitor during theoretical session
. Coffee Break 2x & Lunch
. Hand out & Classroom kit
. Souvenir & Documentation
. Accommodation & Transportation for lnstructor & Assistant
. Air Ticket & Local Transport for lnstructor & Assistant Trainer
. Practical Equipment Support (Life Raft, Life Jacket, Coverall, Shoes)

Exclusive (Provided by PT. Waru Teknikatama)


. Taxes
. Transportation for participants from training venue

Quotation Validiiy Until December 2016

lV. Pavment & Order

VAT 1O% We do not collect VAT 10% as accordance to Government Regulation No 144I2000

Payment Terms : Cash Payment / 2 (two) weeks after invoice received

Account Name PT. lndosafe Pratama


Bank Name Bank Rakyat lndonesia
Account Number 0121 .01.001657.30.9
Branch BRI Klandasan, Balikpapan
Bank Address Gedung BRl, Jl Jendral Sudirman No 37, Balikpapan, Kalimantan Timur

PurchaseMork Order PT. lndosafe Pratama,


Or Training Requisition Bumi Mandiri Tower ll Suite 810, Jl. Panglima Sudirman No. 68 Surabaya
Or More lnformation Tlp. 031 5311909
Address Fax. 031 5311809
Email. aulia@indosafeoratama.com

For and on Behalf of, Approved by,


PT. INDOSAFE PRATAMA

Name : kucN/+N
Posilion 0l&ECIO

cc:
- Director of Finance & Human Resources

PT. lnclcsale Pralama -Quatity Training, lnspection and Consulting SeNices


Batikpapan .62 542-878616' 19, Jat'arta +62 21'83781381 ' Bs' Su'"4!3.!Z:!ElPy
TRAINING REQUISITION FORM

To : PT. INDOSAFE PRATAMA

From : PT. Waru Teknikatama

Reference Number : TRF-250/IPEJ-AL/Xl/201 6

Person in Charge : Dimas Fajri

Phone No : +62 31 8533591/8533643 Fax No: +62 3',1 8549169 Email : dimas@waruteknikatama com

lnvoice Addressed : Jl. lmermotors F-18, Unimas Garden Regency, Waru, Sidoarjo 61256, Jawa Timur
lndonesia
Jawa Timur
Certificate Addressed :Jl. lmermotors F-18, Unimas Garden Regency, Waru, Sidoarjo 61256'
lndonesia
Training Title : Basic Sea Survival

Training Date : 23 November 2016


Training Venue : Surabaya

Training ParticiPant:
Phone/Remarks No Name Participant Phone/Remarks
No Name Participant
Dodv Setiawan +62 31 8533591
2. Mokh Aris Setyawan +62 31 8533591
3. Hudiono +62 31 8533591

ptease forward nis form to fax no. {gL=5!!1gg

Authorized Personnel, or email to aulia@indosafeoratama.com

Name & Date : kU cXaU el-ll -JOts

PT. lndasale Pratama -Quality Training, lnspection and Consulf/'g Servlces


Balikpapan +62 542-878618 - 1g, Jakarta +6211-53781381 - 83' S"