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Annex-3
INTERPOL-ITU-IMPACT
CYBER CRIME INVESTIGATIONS FOR LAW ENFORCEMENT
19-21 February 2014
IMPACT, Cyberjaya
Malaysia
Accommodation Reservation Form
Please use CAPITAL letters. (Last Date of Registration: 31 January 2014)
Passport Details
First Name
Mr./ Mrs./ Ms.
Place of birth
Date of issue
Title/Function
Name of Organisation/
Company
Office Address
Town/City
Telephone Number(s)
E-Mail
Preferred Hotel
Smoking Preference:
(Yes/No)
Airport Transfers:
(Yes/No)
Special Request:
Last Name
Date of birth
Passport No
Date of expiry
Country
Fax Number(s)
Accomodation Reservation Preference
Special room rates are available for the participants.
The following are the suggested Hotel:
1) Primera Residences & Business Suites: Unit G-02, Ground Floor, Primera Suite, Block 3520, Jalan
Teknokrat 6, Cyber 5, 63000 Cyberjaya, Selangor, Malaysia
Superior Suite – RM230 ++ (USD71++) per room per night
Deluxe Suite/Soho – RM290++ (USD90++) per room per night
Studio Suite/Soho – RM308++ (USD95++) per room per night
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Tel: +60 (3) 8688 8888
Email: [email protected]
Fax: +60 (3) 8688 8899
URL: www.primerasuite.com.my
**The above rates are inclusive of daily breakfast, Internet and subject to 10% Service Charge
and 6% Government Tax.
Transport to/from IMPACT
The transportation from Primera Residences & Business Suites to IMPACT and back will be
provided free of charge from Hotel.
2) Shaftsbury Serviced Residences: A-G-01, Shaftsbury Residences, Jalan Impact, Cyber 6, 63000
Cyberjaya, Malaysia.
Studio Room – RM215+ (USD67+) per room per night
One Room Suite – RM255+ (USD+79) per room per night
**The above rates are inclusive of daily breakfast for one (1), Internet and subject to 10% Service
Charge
Two Room Suit – RM410+ (USD127+) per room per night (Consists of one (1) Queen Bed and
one (1) Single Bed)
**The above rate is inclusive of daily breakfast for two (2), Internet and subject to 10% Service
Charge
Tel: +60 (3) 8686 0088
Email: [email protected]
Fax: +60 (3) 8686 0099
URL: www.ssrsb.com.my
Transport to/from IMPACT
The transportation is not required as Shaftsbury Serviced Residences is 5 minutes walking
distance from IMPACT.
3) Cyberview Resort & Spa: Persiaran Multimedia, 63000 Cyberjaya, Selangor, Malaysia
Superior Chalet – RM348+ (USD+107) per room per night
Deluxe Chalet – RM408+ (USD+126) per room per night
Executive Deluxe Chalet – RM460+ (USD+142) per room per night
Tel: +60 (3) 8312 7000
URL: http://www.cyberviewresort.com
Fax: +60 (3) 8312 7005
**The above rates are inclusive of Buffet Breakfast for one (1), Internet and 10% Service Charge.
Additional Buffet Breakfast is at RM20.00+ per person per day.
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Transport to/from IMPACT
The transportation from Cyberview Resort & Spa to IMPACT and back will be provided free of
charge by Hotel.
4) Dorsett Regency Kuala Lumpur: 172 Jalan Imbi, 55100 Kuala Lumpur, Malaysia (45 km to
IMPACT)
Deluxe Room – RM275.00nett (USD85) per room per night
Twin Sharing Room – RM300.00nett (USD92) per room per night
**The above rates are inclusive of daily breakfast and Internet
Tel: +60 (3) 2716 1000
Fax: +60 (3) 2715 5000
Email: [email protected]
URL: www.dorsettregency.com
Transport to/from IMPACT
The transportation from Dorsett Regency to IMPACT and back will not be provided and it is born
by the participants. All accommodation and airport transfer charges are born by the participants.
Participants who want to make their own arrangement can contact the concierge for assistance.
Flight Information
Arrival Date: _______________Flight Name/No: __________ Arrival Time: _______________
Departure Date: _____________Flight Name/No: __________ Departure Time: ______________
Check-in Date: _____________ _Check Out Date: __________
Contact Person
Ms. Hamnar Dooply
Executive, Training & Skills Development
IMPACT
Jalan IMPACT, Cyberjaya, Malaysia
Tel: +60 (3) 8313 2163
Fax: +60 (3) 8319 2020
Email: [email protected]
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