Index of /enm/images/dokumen
National
Committee
on Governance
The
Top Executive Forum
rd
3
on Governance
Law Enforcement for Good Governance
13 – 14 May 2010
Grand Hyatt Nusa Dua, Bali
Forum for regulators, corporate leaders
and business communities to meet,
interact and exchange views
on good governance
and its implementations.
The 3rd Top Executive Forum on Governance
Law Enforcement for Good Governance
Message from the Chairman of Indonesian National
Committee on Governance
Dear Colleagues,
This year the Indonesian National Committee on Governance
(NCG – Komite Nasional Kebijakan Governance) is pleased to
announce that it will once again held a national forum to
facilitate regulators, corporations, and communities in
exchanging views and knowledge in implementing good
governance in Indonesia. This forum, which is the 3rd annual
forum, will again be held jointly with our long and important
partner, RSM AAJ Associates, an accounting and consulting firm
which is a strong supporter of good corporate governance.
As you know it is the aim of NCG to enhance comprehension and implementation of good
governance in Indonesia and also to advise the government on governance issues, both in
public and corporate sectors. Based on our experience in doing the first two national
forums, we truly believe that this important event needs to be continued at least on an
annual basis. The theme of the 3rd Annual Top Executive Forum on Governance, which will
be held in Grand Hyatt Nusa Dua, Bali, on 13-14 May 2010, will be Law Enforcement for
Good Governance . More than regulations or voluntary codes, enforcement is key to the
success of creating an effective business environment and good corporate governance.
This year forum will brought to the table the impact on corporate governance when rules
are not enforced, and what can be done to improve corporate governance in weak
enforcement environments. Public enforcement is necessary, and private enforcement
mechanisms often require public laws to function. Private initiatives are often also taken
under the threat of legislation or regulation. During this event, we will also be launching
Indonesia Public Governance Code, which is the first ever existed.
As you can see in the this brochure, high profile individuals from the government agencies
and from the private sector will be presenting their thoughts, knowledge and experience;
and will share them with participant of the forum. This event will also be attended by highranking public officials, regulators, corporate leaders, capital market, state-owned
enterprises, and banking community, and the media.
For that reason, I cordially invite you to participate in this event and together we can help
promote good governance for Indonesia.
Warm regards,
Mas Achmad Daniri
Who Should Attend?
• Board Members
• Committee Members
• Chief Compliance
Officers
• Corporate Secretary
• Auditors
• Regulators
• Heads of Corporate
Governance, Risk &
Internal Audit
• Heads of Investor
Relations
•
•
•
•
Legal Counsel
Educators
Chief Finance Officers
Chief Executive
Officers
• Consultants
About Top Executive Forum on Governance
The Top Executive Forum on Governance is a forum for regulators, corporate
leaders and business communities to meet, interact and exchange views on
good governance and its implementations. The 1st Top Executive Forum was
conducted on August 2007 addressing the issue of sustaining company value
through GCG based practices. The 2nd Top Executive Forum was conducted on
November 2008 addressing the issue of cultural perspectives on governance.
Both events were conducted in Bali, Indonesia.
The Top Executive Forum on Governance is an initiative jointly conducted by
Komite Nasional Kebijakan Governance (KNKG/NCG) and RSM AAJ Associates.
KNKG is an independent body established by the Government of Indonesia
with purpose to enhance the awareness and enforcement of good governance
in Indonesia and to advise the government regarding governance issues.
RSM AAJ Associates is an international firm with strong local presence in
Indonesia delivering independent accounting and consulting services with
vision to be the right partner to its stakeholders.
Endorser
KEMENTERIAN
BADAN USAHA MILIK NEGARA
Thursday, 13 May 2010
Friday, 14 May 2010
Schedule
Schedule
08.45
Welcoming Speech
• Amir Abadi Jusuf,
08.30
Chairman of RSM AAJ Associates
09.00
Invited Speakers:
• Fuad Rahmany,
Chairman of Indonesian Capital Market
and Financial Institution Supervisory
Agency
• Darmin Nasution,
Acting Governor of Bank Indonesia
• Luhut Pangaribuan,
Managing Partner of LMPP Law Office
• Sahala Lumban Gaol,
Deputy Minister of State Owned
Enterprise and Member of NCG
Opening Speech
• Mas Achmad Daniri,
Chairman of National Committee
on Governance (NCG)
09.15
Key note speech:
Setting the Tone for Enforcement
Invited Speaker:
• Boediono,
Vice President
of the Republic of Indonesia
10.45
Making Public Governance Reform
a Reality
10.45
Invited Speakers:
• EE Mangindaan,
State Minister of Administrative Reform
• Kuntoro Mangkusubroto,
Head of Presidential Working Unit for
Development Monitoring and Control
(UKP4)
• Erry Hardjapamekas,
Former Vice Chairman of Corruption
Eradication Commission and Former
Member of NCG
14.00
Indonesia Governance Standing:
Perception vs Reality
End of Day One
Effectiveness of Market Mechanism:
Turning Regulatory Requirements
into a Competitive Advantage
Invited Speakers:
• Eugene Keith Galbraith,
Chairman of Bank Central Asia
• Karen Agustiawan,
CEO of Pertamina
• Jean Stephens,
CEO of RSM International
• Kemal Stamboel,
Member of Parliament
and Member of NCG
14.00
Invited Speakers:
• Mustafa Abubakar,
Minister of State Owned Enterprise
• Jamie Allen,
Secretary General of Asian Corporate
Governance Association
• Joachim von Amsberg,
World Bank Indonesia Country Director
• Angela Simatupang,
Partner of RSM AAJ Associates
16.00
Effectiveness of Regulatory
Framework: Regulation,
Cases and Enforcement Update
Corruption in Indonesia:
How Business are Affected
Invited Speakers:
• Erry Hardjapamekas
• Faisal Basri,
Economist
and IRSA Chief Advisory Board
• Hiramsyah S Thaib
CEO of Bakrieland Development
• Todung Mulya Lubis,
Senior Partner of LSM Law Office
16.00
Closing remark
16.30
Close of Conference
Program is correct at time of printing.
It is subject to change and will be updated through time..
• Binhadi,
CEO of Bank Indonesia Pension Fund
and Member of NCG
Overview
More than regulations, laws on the books, or voluntary codes, enforcement is
key to creating an effective business environment and good corporate
governance, at least in developing countries and transition economies.
Some suggests that private enforcement tools are often more effective than
public tools. However, some public enforcement is necessary, and private
enforcement mechanisms often require public laws to function. Private
initiatives are often also taken under the threat of legislation or regulation,
although in some countries bottom-up, private-led initiatives preceded and
even shaped public laws. Concentrated ownership aligns incentives and
encourages monitoring, but it weakens other corporate governance
mechanisms and can impose significant costs. Various steps can be taken to
reduce these costs and reinforce other corporate governance mechanisms.
Political economy constraints however, resulting from the intermingling of
business and politics, often prevent improvements in the enforcement
environment and the adoption and implementation of public laws.
The two-day programme is presented to help explain enforcement, the impact
on corporate governance when rules are not enforced, and what can be done
to improve corporate governance in weak enforcement environments.
High profile individuals from the government agencies and from the private
sector will be presenting their thoughts, knowledge and experience; and will
share them with participant of the forum.
Key topics addressed will include among others:
• Government commitment in enforcement and good governance
• Regulatory/legal challenges in Indonesia
• Fostering enforcement mechanism
• Impact of enforcement towards good governance
• Linkage between good governance and safeguarding sustainability
• Leading governance practices throughout the world and how Indonesia fit in
• Transforming regulatory requirements into competitive advantage
• Corruption in Indonesia: its impact and the state of corruption enforcement
• Linkage between law enforcement, good governance, and corruption
• Market perception on the influence of laws and regulations and its
implementation in creating good governance
• Market challenges in implementing good governance and what is the most
effective corporate governance driving force
The Venue
The event will be held at Grand Hyatt Bali, located in Nusa Dua, approximately
12 kilometers (20 minutes) from Ngurah Rai International Airport. The Grand
Hyatt Bali was conceived as a
water-palace , with lakes, landscaped
gardens and five swimming pools surrounding low-rise Balinese style
buildings. The resort is just a short distance from Sanur, Kuta and Denpasar.
The Indonesian island of Bali is a favorite destination for both adventurers and
those in need of a little relaxation. The waters off the coast of Bali's white
beaches are an ideal spot for diving, while the dense jungles, teeming with
monkeys and hidden stone temples, call out for exploration. Hike the rugged
path to the summit of Mount Batur, and your effort will be rewarded with a
stunning view. Then coax your sore muscles back into action with a massage at
one of Bali's many luxury spas.
Religious Service
We have arranged a shuttle service for conference participants wishing to
attend the afternoon mass in remembering the Accession of Jesus Christ day.
The shuttle will depart from Grand Hyatt Nusa Dua to Gereja Bukit Doa. The
service will be in English and commence at 6 PM.
We have also made suitable arrangement for conference participants who are
attending the Friday Prayer (Shalat Jumat), which will be held in the hotel area.
Investment Fee
The investment fee includes conference kit, luncheon and refreshments during
conference days.
To enjoy a special group rate, simply register a minimum of 3 people from
your organization. The special group rate also applies for affiliates of National
Committee of Governance as well as RSM International member firms and
clients. For non-group participants, register early to enjoy the early bird rate.
Accommodation
We have arranged for conference participants, a special rate with Grand
Hyatt Nusa Dua Bali. If you wish to book a room, simply complete and send
the Hotel Reservation Form.
The Grand Hyatt Bali has a total of 648 rooms in four villages. All rooms have
individually controlled air-conditioning, humidity control, separate shower
and bath, cable TV, IDD telephone, personal safe, hairdryer and balcony. The
hotel services and facilities includes 8 restaurants, babysitting service, beauty
salon, in-house clinic, fitness and health centre, three floodlit tennis courts, a
nine-hole putting green, jogging track, table tennis, and shopping village.
Camp Nusa is the hotel’s children’s activity centre. Kriya Spa offers authentic
Balinese treatments and an array of true healing experiences within the
luxurious environment of 24 exotic spa villas.
If you wish to have an alternate accommodation options, please contact our
organizing officer to provide you with list of nearby hotels.
Flying with Garuda Indonesia
We have arranged a special discount for participants flying with Garuda
Indonesia to attend The 3rd Top Executive Forum on Governance. Registered
participants will be receiving registration confirmation which can be used to
obtain the discount when booking and purchasing the air ticket at Garuda
Indonesia Office.
Conference Registration Form
I will attend:
Please tick on the
appropriate box
Investment
Non-Group
Rp 8,800,000
Group
Rp 8,350,000
The special Group Rate is applicable for registration of minimum 3 people from the same organization,
or for affiliates of National Committee of Governance as well as network and clients of RSM.
Your Details (Please use BLOCK LETTERS)
(Mr/Mrs/Ms/Miss/Dr) First Name
Last Name
Job Title
Department
Direct Tel (
)
Mobile (
Email
)
Direct Fax (
)
Company Name
Address
City
State
Postcode
Date
Country
Signature
Please tick on the appropriate box
Yes
No
Would you like to attend
the religious service held
at Gereja Bukit Doa?
Confirmed participants of this event is entitled
to a special discount when flying with Garuda
Indonesia. Contact us for further information.
(Please use this form for registration of additional participants and fax together to enjoy the special Group rate.)
Payment
Please transfer your payment to:
Executive Forum on Governance. Bank Bukopin
(BO: Melawai). Account Number: 1000261447.
SWIFT Code: BBUKIDJA
Reservation & Cancellation Policy
• Cancellation will result in a forfeit of the registration paid.
• Substitutions at no extra charge up to 14 days before the event are
allowed.
• Submission of registration form is recognized as confirmation of
participation in the conference and therefore resulted in acceptance
of liabilities of paying the investment fee amount.
Web
www.governance-indonesia.com
www.rsm.aajassociates.com
www.ppatk.go.id
Please send your registration form and
transfer slip by fax to +62 21 51401350 or
by email to [email protected]
For further information, please contact:
RSM AAJ Associates
[email protected]
• Ajeng ([email protected])
• Monique ([email protected])
• Puti ([email protected])
• Afriani ([email protected])
Phone
+62-21-51401340
#2313/2314/
1030/1034
Hotel Reservation Form
Group Code: The 3rd Top Executive Forum on Governance
RSM AAJ Associates-KNKG Group
Your Details (Please use BLOCK LETTERS)
(Mr/Mrs/Ms/Miss/Dr) First Name
Last Name
Email
Mobile (
Organization Name
Nationality
)
Room request
Check in Date
Check Out Date
Single Room
Double Room
No. of Nights
Non-Smoking Room
Smoking Room
Run of House
(Garden &
Grand)
Grand Room
Ocean View
Club Room
Garden
Club Deluxe
Garden View
Club Deluxe
Ocean View
Rp 1.400.000
(US$ 150) net.
Rp 1.700.000
(US$ 185) net.
Rp 1.900.000
(US$ 210) net.
Rp 2.000.000
(US$ 225) net.
Rp 2.200.000
(US$ 260) net.
Grand Suite
US$ 550 net.
Rates are quoted on per room per night basis and are inclusive of 10% service charge and government tax.
Room rate include daily American Buffet Breakfast served at hotel restaurant for maximum 2 (two) persons.
Pre-book room for early arrival (additional 50%
charges of room rate will be applicable
Arrival Date/ Time/ Flight Number
Departure Date/ Time/ Flight Number
Request for late checkout beyond 2 PM (subject to availability
and additional 50% charges of room rate will be applicable
Airport
Transfer
Yes, by Toyota Innova @US$ 17 net/way
Airport
Transfer
Yes, by Toyota Innova @US$ 17 net/way
Not necessary
Not necessary
Journey from Ngurah Rai Airport to Grand Hyatt Nusa Dua is ± 20 min ride. Taxis are easily available from the airport and hotel at approx. USS$10 (cash) net/way.
Charges authorized to be placed on my credit card:
Credit Card Number (Master/Visa)
Expiry
Please send your hotel reservation form
by fax to +62 361 772038
or by email to
[email protected]
Signature
PO Box 53 Nusa Dua Bali, Indonesia
Phone: +62 – 361 – 771234
http://bali.grand.hyatt.com
The 3rd Top Executive Forum on Governance
Law Enforcement for Good Governance
Supporting Organizations
Media Partners
Official Airline
Sponsors
National
Committee
on Governance
Indonesia Stock Exchange Building, Tower I, 2nd Fl.
Jl. Jend. Sudirman Kav. 52, Jakarta 12190 Indonesia
Phone: +62 21 5155877. Fax: +62 21 5155880
Plaza ABDA 10th Fl.
Jl. Jend. Sudirman Kav.59, Jakarta 12190 Indonesia
Phone: +62 21 51401340. Fax: +62 21 51401350
Committee
on Governance
The
Top Executive Forum
rd
3
on Governance
Law Enforcement for Good Governance
13 – 14 May 2010
Grand Hyatt Nusa Dua, Bali
Forum for regulators, corporate leaders
and business communities to meet,
interact and exchange views
on good governance
and its implementations.
The 3rd Top Executive Forum on Governance
Law Enforcement for Good Governance
Message from the Chairman of Indonesian National
Committee on Governance
Dear Colleagues,
This year the Indonesian National Committee on Governance
(NCG – Komite Nasional Kebijakan Governance) is pleased to
announce that it will once again held a national forum to
facilitate regulators, corporations, and communities in
exchanging views and knowledge in implementing good
governance in Indonesia. This forum, which is the 3rd annual
forum, will again be held jointly with our long and important
partner, RSM AAJ Associates, an accounting and consulting firm
which is a strong supporter of good corporate governance.
As you know it is the aim of NCG to enhance comprehension and implementation of good
governance in Indonesia and also to advise the government on governance issues, both in
public and corporate sectors. Based on our experience in doing the first two national
forums, we truly believe that this important event needs to be continued at least on an
annual basis. The theme of the 3rd Annual Top Executive Forum on Governance, which will
be held in Grand Hyatt Nusa Dua, Bali, on 13-14 May 2010, will be Law Enforcement for
Good Governance . More than regulations or voluntary codes, enforcement is key to the
success of creating an effective business environment and good corporate governance.
This year forum will brought to the table the impact on corporate governance when rules
are not enforced, and what can be done to improve corporate governance in weak
enforcement environments. Public enforcement is necessary, and private enforcement
mechanisms often require public laws to function. Private initiatives are often also taken
under the threat of legislation or regulation. During this event, we will also be launching
Indonesia Public Governance Code, which is the first ever existed.
As you can see in the this brochure, high profile individuals from the government agencies
and from the private sector will be presenting their thoughts, knowledge and experience;
and will share them with participant of the forum. This event will also be attended by highranking public officials, regulators, corporate leaders, capital market, state-owned
enterprises, and banking community, and the media.
For that reason, I cordially invite you to participate in this event and together we can help
promote good governance for Indonesia.
Warm regards,
Mas Achmad Daniri
Who Should Attend?
• Board Members
• Committee Members
• Chief Compliance
Officers
• Corporate Secretary
• Auditors
• Regulators
• Heads of Corporate
Governance, Risk &
Internal Audit
• Heads of Investor
Relations
•
•
•
•
Legal Counsel
Educators
Chief Finance Officers
Chief Executive
Officers
• Consultants
About Top Executive Forum on Governance
The Top Executive Forum on Governance is a forum for regulators, corporate
leaders and business communities to meet, interact and exchange views on
good governance and its implementations. The 1st Top Executive Forum was
conducted on August 2007 addressing the issue of sustaining company value
through GCG based practices. The 2nd Top Executive Forum was conducted on
November 2008 addressing the issue of cultural perspectives on governance.
Both events were conducted in Bali, Indonesia.
The Top Executive Forum on Governance is an initiative jointly conducted by
Komite Nasional Kebijakan Governance (KNKG/NCG) and RSM AAJ Associates.
KNKG is an independent body established by the Government of Indonesia
with purpose to enhance the awareness and enforcement of good governance
in Indonesia and to advise the government regarding governance issues.
RSM AAJ Associates is an international firm with strong local presence in
Indonesia delivering independent accounting and consulting services with
vision to be the right partner to its stakeholders.
Endorser
KEMENTERIAN
BADAN USAHA MILIK NEGARA
Thursday, 13 May 2010
Friday, 14 May 2010
Schedule
Schedule
08.45
Welcoming Speech
• Amir Abadi Jusuf,
08.30
Chairman of RSM AAJ Associates
09.00
Invited Speakers:
• Fuad Rahmany,
Chairman of Indonesian Capital Market
and Financial Institution Supervisory
Agency
• Darmin Nasution,
Acting Governor of Bank Indonesia
• Luhut Pangaribuan,
Managing Partner of LMPP Law Office
• Sahala Lumban Gaol,
Deputy Minister of State Owned
Enterprise and Member of NCG
Opening Speech
• Mas Achmad Daniri,
Chairman of National Committee
on Governance (NCG)
09.15
Key note speech:
Setting the Tone for Enforcement
Invited Speaker:
• Boediono,
Vice President
of the Republic of Indonesia
10.45
Making Public Governance Reform
a Reality
10.45
Invited Speakers:
• EE Mangindaan,
State Minister of Administrative Reform
• Kuntoro Mangkusubroto,
Head of Presidential Working Unit for
Development Monitoring and Control
(UKP4)
• Erry Hardjapamekas,
Former Vice Chairman of Corruption
Eradication Commission and Former
Member of NCG
14.00
Indonesia Governance Standing:
Perception vs Reality
End of Day One
Effectiveness of Market Mechanism:
Turning Regulatory Requirements
into a Competitive Advantage
Invited Speakers:
• Eugene Keith Galbraith,
Chairman of Bank Central Asia
• Karen Agustiawan,
CEO of Pertamina
• Jean Stephens,
CEO of RSM International
• Kemal Stamboel,
Member of Parliament
and Member of NCG
14.00
Invited Speakers:
• Mustafa Abubakar,
Minister of State Owned Enterprise
• Jamie Allen,
Secretary General of Asian Corporate
Governance Association
• Joachim von Amsberg,
World Bank Indonesia Country Director
• Angela Simatupang,
Partner of RSM AAJ Associates
16.00
Effectiveness of Regulatory
Framework: Regulation,
Cases and Enforcement Update
Corruption in Indonesia:
How Business are Affected
Invited Speakers:
• Erry Hardjapamekas
• Faisal Basri,
Economist
and IRSA Chief Advisory Board
• Hiramsyah S Thaib
CEO of Bakrieland Development
• Todung Mulya Lubis,
Senior Partner of LSM Law Office
16.00
Closing remark
16.30
Close of Conference
Program is correct at time of printing.
It is subject to change and will be updated through time..
• Binhadi,
CEO of Bank Indonesia Pension Fund
and Member of NCG
Overview
More than regulations, laws on the books, or voluntary codes, enforcement is
key to creating an effective business environment and good corporate
governance, at least in developing countries and transition economies.
Some suggests that private enforcement tools are often more effective than
public tools. However, some public enforcement is necessary, and private
enforcement mechanisms often require public laws to function. Private
initiatives are often also taken under the threat of legislation or regulation,
although in some countries bottom-up, private-led initiatives preceded and
even shaped public laws. Concentrated ownership aligns incentives and
encourages monitoring, but it weakens other corporate governance
mechanisms and can impose significant costs. Various steps can be taken to
reduce these costs and reinforce other corporate governance mechanisms.
Political economy constraints however, resulting from the intermingling of
business and politics, often prevent improvements in the enforcement
environment and the adoption and implementation of public laws.
The two-day programme is presented to help explain enforcement, the impact
on corporate governance when rules are not enforced, and what can be done
to improve corporate governance in weak enforcement environments.
High profile individuals from the government agencies and from the private
sector will be presenting their thoughts, knowledge and experience; and will
share them with participant of the forum.
Key topics addressed will include among others:
• Government commitment in enforcement and good governance
• Regulatory/legal challenges in Indonesia
• Fostering enforcement mechanism
• Impact of enforcement towards good governance
• Linkage between good governance and safeguarding sustainability
• Leading governance practices throughout the world and how Indonesia fit in
• Transforming regulatory requirements into competitive advantage
• Corruption in Indonesia: its impact and the state of corruption enforcement
• Linkage between law enforcement, good governance, and corruption
• Market perception on the influence of laws and regulations and its
implementation in creating good governance
• Market challenges in implementing good governance and what is the most
effective corporate governance driving force
The Venue
The event will be held at Grand Hyatt Bali, located in Nusa Dua, approximately
12 kilometers (20 minutes) from Ngurah Rai International Airport. The Grand
Hyatt Bali was conceived as a
water-palace , with lakes, landscaped
gardens and five swimming pools surrounding low-rise Balinese style
buildings. The resort is just a short distance from Sanur, Kuta and Denpasar.
The Indonesian island of Bali is a favorite destination for both adventurers and
those in need of a little relaxation. The waters off the coast of Bali's white
beaches are an ideal spot for diving, while the dense jungles, teeming with
monkeys and hidden stone temples, call out for exploration. Hike the rugged
path to the summit of Mount Batur, and your effort will be rewarded with a
stunning view. Then coax your sore muscles back into action with a massage at
one of Bali's many luxury spas.
Religious Service
We have arranged a shuttle service for conference participants wishing to
attend the afternoon mass in remembering the Accession of Jesus Christ day.
The shuttle will depart from Grand Hyatt Nusa Dua to Gereja Bukit Doa. The
service will be in English and commence at 6 PM.
We have also made suitable arrangement for conference participants who are
attending the Friday Prayer (Shalat Jumat), which will be held in the hotel area.
Investment Fee
The investment fee includes conference kit, luncheon and refreshments during
conference days.
To enjoy a special group rate, simply register a minimum of 3 people from
your organization. The special group rate also applies for affiliates of National
Committee of Governance as well as RSM International member firms and
clients. For non-group participants, register early to enjoy the early bird rate.
Accommodation
We have arranged for conference participants, a special rate with Grand
Hyatt Nusa Dua Bali. If you wish to book a room, simply complete and send
the Hotel Reservation Form.
The Grand Hyatt Bali has a total of 648 rooms in four villages. All rooms have
individually controlled air-conditioning, humidity control, separate shower
and bath, cable TV, IDD telephone, personal safe, hairdryer and balcony. The
hotel services and facilities includes 8 restaurants, babysitting service, beauty
salon, in-house clinic, fitness and health centre, three floodlit tennis courts, a
nine-hole putting green, jogging track, table tennis, and shopping village.
Camp Nusa is the hotel’s children’s activity centre. Kriya Spa offers authentic
Balinese treatments and an array of true healing experiences within the
luxurious environment of 24 exotic spa villas.
If you wish to have an alternate accommodation options, please contact our
organizing officer to provide you with list of nearby hotels.
Flying with Garuda Indonesia
We have arranged a special discount for participants flying with Garuda
Indonesia to attend The 3rd Top Executive Forum on Governance. Registered
participants will be receiving registration confirmation which can be used to
obtain the discount when booking and purchasing the air ticket at Garuda
Indonesia Office.
Conference Registration Form
I will attend:
Please tick on the
appropriate box
Investment
Non-Group
Rp 8,800,000
Group
Rp 8,350,000
The special Group Rate is applicable for registration of minimum 3 people from the same organization,
or for affiliates of National Committee of Governance as well as network and clients of RSM.
Your Details (Please use BLOCK LETTERS)
(Mr/Mrs/Ms/Miss/Dr) First Name
Last Name
Job Title
Department
Direct Tel (
)
Mobile (
)
Direct Fax (
)
Company Name
Address
City
State
Postcode
Date
Country
Signature
Please tick on the appropriate box
Yes
No
Would you like to attend
the religious service held
at Gereja Bukit Doa?
Confirmed participants of this event is entitled
to a special discount when flying with Garuda
Indonesia. Contact us for further information.
(Please use this form for registration of additional participants and fax together to enjoy the special Group rate.)
Payment
Please transfer your payment to:
Executive Forum on Governance. Bank Bukopin
(BO: Melawai). Account Number: 1000261447.
SWIFT Code: BBUKIDJA
Reservation & Cancellation Policy
• Cancellation will result in a forfeit of the registration paid.
• Substitutions at no extra charge up to 14 days before the event are
allowed.
• Submission of registration form is recognized as confirmation of
participation in the conference and therefore resulted in acceptance
of liabilities of paying the investment fee amount.
Web
www.governance-indonesia.com
www.rsm.aajassociates.com
www.ppatk.go.id
Please send your registration form and
transfer slip by fax to +62 21 51401350 or
by email to [email protected]
For further information, please contact:
RSM AAJ Associates
[email protected]
• Ajeng ([email protected])
• Monique ([email protected])
• Puti ([email protected])
• Afriani ([email protected])
Phone
+62-21-51401340
#2313/2314/
1030/1034
Hotel Reservation Form
Group Code: The 3rd Top Executive Forum on Governance
RSM AAJ Associates-KNKG Group
Your Details (Please use BLOCK LETTERS)
(Mr/Mrs/Ms/Miss/Dr) First Name
Last Name
Mobile (
Organization Name
Nationality
)
Room request
Check in Date
Check Out Date
Single Room
Double Room
No. of Nights
Non-Smoking Room
Smoking Room
Run of House
(Garden &
Grand)
Grand Room
Ocean View
Club Room
Garden
Club Deluxe
Garden View
Club Deluxe
Ocean View
Rp 1.400.000
(US$ 150) net.
Rp 1.700.000
(US$ 185) net.
Rp 1.900.000
(US$ 210) net.
Rp 2.000.000
(US$ 225) net.
Rp 2.200.000
(US$ 260) net.
Grand Suite
US$ 550 net.
Rates are quoted on per room per night basis and are inclusive of 10% service charge and government tax.
Room rate include daily American Buffet Breakfast served at hotel restaurant for maximum 2 (two) persons.
Pre-book room for early arrival (additional 50%
charges of room rate will be applicable
Arrival Date/ Time/ Flight Number
Departure Date/ Time/ Flight Number
Request for late checkout beyond 2 PM (subject to availability
and additional 50% charges of room rate will be applicable
Airport
Transfer
Yes, by Toyota Innova @US$ 17 net/way
Airport
Transfer
Yes, by Toyota Innova @US$ 17 net/way
Not necessary
Not necessary
Journey from Ngurah Rai Airport to Grand Hyatt Nusa Dua is ± 20 min ride. Taxis are easily available from the airport and hotel at approx. USS$10 (cash) net/way.
Charges authorized to be placed on my credit card:
Credit Card Number (Master/Visa)
Expiry
Please send your hotel reservation form
by fax to +62 361 772038
or by email to
[email protected]
Signature
PO Box 53 Nusa Dua Bali, Indonesia
Phone: +62 – 361 – 771234
http://bali.grand.hyatt.com
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Indonesia Stock Exchange Building, Tower I, 2nd Fl.
Jl. Jend. Sudirman Kav. 52, Jakarta 12190 Indonesia
Phone: +62 21 5155877. Fax: +62 21 5155880
Plaza ABDA 10th Fl.
Jl. Jend. Sudirman Kav.59, Jakarta 12190 Indonesia
Phone: +62 21 51401340. Fax: +62 21 51401350