Arrival- Departure Form
Delegate details
Your Picture |
Full Name: |
E-Mail Address: |
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Contact Number: |
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Local/ National Organisation (if any): |
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Country: |
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Gender: |
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IC No./Passport No.: |
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Participation in: LIT (Yes/No) APPS (Yes/No) Post-Symposium Tour (Yes/No) |
*If you are travelling in group, please duplicate and fill in the “Delegate details” of your group members, then add it in a single form.
Arrival Details
*Please fill out only the section applicable to you below:
First Point of Arrival at Kuala Lumpur International Airport (KLIA), Kuala Lumpur
Airline: |
Flight Number: |
Arrival Date (dd/mm): |
Arrival Time: |
No. of Group Members (for Group Arrival only): |
Please fill out the section applicable to you: Flight transit to Penang International Airport Transit Airline: Transit Flight Number: Transit Departure Date (dd/mm): Transit Departure Time: Transit Arrival Date (dd/mm): Transit Arrival Time: Travel by bus to KL Central Bus Leaving/ Arrival Date (dd/mm): Bus Leaving Time: Bus Arrival Time: Travel by Taxi to KL Central Taxi Leaving/ Arrival Date (dd/mm): Taxi Leaving Time: Taxi Arrival Time: Travel by Express Railway Link (ERL) to KL Central ERL Leaving/ Arrival Date (dd/mm): ERL Leaving Time: ERL Arrival Time: Travel by Bus to Puduraya Bus Terminal Bus Leaving/ Arrival Date (dd/mm): Bus Leaving Time: Bus Arrival Time: Travel by Taxi to Puduraya Bus Terminal Taxi Leaving/ Arrival Date (dd/mm): Taxi Leaving Time: Taxi Arrival Time: Travel by Bus From Puduraya Bus Terminal, KL to Sungai Nibong Bus Terminal, Penang Bus Leaving Date (dd/mm): Bus Leaving Time: Bus Arrival Date (dd/mm): Bus Arrival Time: |
First Point of Arrival at Low Cost Carrier Terminal (LCCT), Kuala Lumpur
Airline: |
Flight Number: |
Arrival Date (dd/mm): |
Arrival Time: |
No. of Group Members (for Group Arrival only): |
Please fill out the section applicable to you: Flight transit to Penang International Airport Transit Airline: Transit Flight Number: Transit Departure Date (dd/mm): Transit Departure Time: Transit Arrival Date (dd/mm): Transit Arrival Time: Travel by bus to KL Central Bus Leaving/ Arrival Date (dd/mm): Bus Leaving Time: Bus Arrival Time: Travel by Taxi to KL Central Taxi Leaving/ Arrival Date (dd/mm): Taxi Leaving Time: Taxi Arrival Time: Travel by Bus From Puduraya Bus Terminal, KL to Sungai Nibong Bus Terminal, Penang Bus Leaving Date (dd/mm): Bus Leaving Time: Bus Arrival Date (dd/mm): Bus Arrival Time: |
First Point of Arrival at Penang International Airport, Penang
Airline: |
Flight Number: |
Arrival Date (dd/mm): |
Arrival Time: |
No. of Group Members (for Group Arrival only): |
First Point of Arrival at Sungai Nibong Bus Terminal, Penang
Bus Arrival Date (dd/mm): |
Bus Arrival Time: |
No. of Group Members (for Group Arrival only): |
DEPARTURE DETAILS
*Please fill out only the section applicable to you below:
First Point of Departure from Penang International Airport to Kuala Lumpur International Airport (KLIA)
Airline: |
Flight Number: |
Departure Date (dd/mm): |
Departure Time: |
No. of Group Members (for Group Departure only): |
Please fill out the section applicable to you: Transit Flight Transit Airline: Transit Flight Number: Transit Departure Date (dd/mm): Transit Departure Time: Transit Arrival Date (dd/mm): Transit Arrival Time: |
First Point of Departure from Penang International Airport to Low Cost Carrier Terminal (LCCT)
Airline: |
Flight Number: |
Departure Date (dd/mm): |
Departure Time: |
No. of Group Members (for Group Departure only): |
Please fill out the section applicable to you: Transit Flight Transit Airline: Transit Flight Number: Transit Departure Date (dd/mm): Transit Departure Time: Transit Arrival Date (dd/mm): Transit Arrival Time: |
First Point of Departure from Sungai Nibong Bus Terminal, Penang to Puduraya Bus Terminal, Kuala Lumpur
Bus Departure Date (dd/mm): |
Bus Departure Time: |
Bus Arrival Date (dd/mm): |
Bus Arrival Time: |
No. of Group Members (for Group Arrival only): |
Please fill out the section applicable to you: Travel by bus from Puduraya Bus Terminal to Airport Destination: KLIA/ LCCT Bus Leaving/ Arrival Date (dd/mm): Bus Leaving Time: Bus Arrival Time: Travel by Taxi from Puduraya Bus Terminal to Airport Destination: KLIA/ LCCT Taxi Leaving/ Arrival Date (dd/mm): Taxi Leaving Time: Taxi Arrival Time: Travel by bus from KL Central to Airport Destination: KLIA/ LCCT Bus Leaving/ Arrival Date (dd/mm): Bus Leaving Time: Bus Arrival Time: Travel by Taxi from KL Central to Airport Destination: KLIA/ LCCT Taxi Leaving/ Arrival Date (dd/mm): Taxi Leaving Time: Taxi Arrival Time: Travel by Express Railway Link (ERL) to KLIA ERL Leaving/ Arrival Date (dd/mm): ERL Leaving Time: ERL Arrival Time: Flight Departs from KLIA/ LCCT Airline: Flight Number: Departure Date (dd/mm): Departure Time: |
Note:
To ensure a circumspect reception when arriving in and departing from Penang, every participant is requested to fill in and send back the Arrival-Departure Form by 10th June 2009 to both our Registration Managers through email:
Chin Wai Foo (contact no.: +6016-5013988) Wong Chung Eng (contact no.: +6016-8687735) Email: [email protected] |
Registration
Department of the 8th APPS Secretariat
School of Pharmaceutical Sciences
Universiti Sains
Malaysia
11800 Penang
Malaysia
If you are not sure about the exact departure/arrival time, please provide us an approximate range of your departure/arrival time. You will be notified with the latest updates one week before the event.
Some of the above-mentioned abbreviations can be understood as follows:
KLIA ---Kuala Lumpur International Airport.
LCCT --- Low Cost Carrier Terminal.
For more detailed information, please visit the following website: http://www.tourismpenang.gov.my/
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