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Select Destination Bali Jakarta
Restaurant
Meal Time
HH 11121314151617
MM 00 15 30 45
Number of Guests 2 3 4 5 5+
Name
Last Name
Email
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Special Request
In response to the WHO declaration regarding Coronavirus, we would require your participation to answer the following questions. [Complete the form]
Please advise name of the countries you have visited in the past 14 days prior arriving to Bali/Jakarta (if any):
Country Name
I hereby declare that all information I have stated above is true and understand that the hotel reserves the rights to refuse entry.
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