IKATAN AHLI TEKNIK PERMINYAKAN INDONESIA REGISTRATION FORM. Business Forum Simposium Workshop. Company:

Simposium Nasional Kongres XII IKATAN AHLI TEKNIK PERMINYAKAN INDONESIA

REGISTRATION FORM Business Forum | Simposium | Workshop IATMI phone/fax: +62 21 520-3057 | email: [email protected] 1st Floor Patra Jasa Office Tower, 1C, Jl. Jend. Gatot Subroto Kav.32-34, Jakarta, 12950 - Indonesia

Simposium + Forum Teknologi

Simposium + Workshop

Simposium + Business Forum

Workshop

Simposium

Business Forum

would like to Register the Following Personnel for

Forum Teknologi

Company:...........................................................................................................

Name: ..................................................... to attend: Name: ..................................................... to attend: Name: ..................................................... to attend: Name: ..................................................... to attend: Name: ..................................................... to attend: Billing Address:.................................................................................................... ......................................................................................................................... City: ................................ Country: ............................. Postal Code:.................. Contact Name: ………………………………………………………… Title: ....................................... Office Phone: .................................................... HP:.......................................... E-mail: ............................................................ Fax:......................................... Signed: ............................................................ Date:........................................ Contact

Contact No

email

Nursyantini

+62 21

520-3057

[email protected]

A. Manan

+62 21

520-3057

[email protected]

All payments must made by bank transfer, with message: “SIMNASKONG 2012” to: Bank CIMB Niaga, Cab. Pondok Indah, Acct No.: 017.01.30035.00.5 For Secretariat Use

Receipt date:

Reg. No.:

19


SIMPOSIUM NASIONAL & KONGRES XII IKATAN AHLI TEKNIK PERMINYAKAN INDONESIA

SPONSORSHIP OPPORTUNITY

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3 – 5 Dec, 2012 Gran Melia Jakarta

Main Sponsor : Symposium and Congress XII 1 Principal 15,000 USD Strategic placing of Company name and logo on the main backdrop during the symposium, from Mon-Wed, 3-5 Dec, 2012, and during Golf Tournament on Sun, 2 Dec, 2012.

Nama dan logo perusahaan ditempatkan ditempat yang strategis di backdrop utama, selama simposium pada hari Senin-Rabu, tgl 3-5 Des, 2012, dan pada waktu Golf Turnamen pada hari Minggu tgl 2 Des, 2012.

Company name and logo will also be printed on vertical banner yang which will be placed around the area of symposium.

Nama dan logo perusahaan juga akan dicetak pada vertical banner dan ditempatkan dibeberapa tempat di area sekitar simposium.

Company name will be acknowledged during the Opening; Company profile will be printed on the Program Booklet, and in the CD Proceedings.

Nama Perusahaan akan disebut dalam acara Pembukaan; profil perusahaan akan diprint dalam Buku Program dan dalam CD Proceeding.

Principal Sponsor entitles 5 (five) entry tickets to the Symposium.

Limited to 2 (two) Companies

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Sponsor Principal mendapatkan 5 (lima) tiket masuk ke Simposium.


Main Sponsor: Business Forum 2

Forum Business 12,500 USD Business Forum

Strategic placing of Company name and logo on the main backdrop, during the Business Forum, to be held from 8:30 morning to noon on Monday, Dec 3rd, 2012

Nama dan logo perusahaan ditempatkan di tempat yang strategis di backdrop utama, selama Forum Bisnis berjalan, yang akan diadakan dari jam 8:30 pagi sampai siang pada hari Senin, tanggal 3-Des, 2012

Company name will be acknowledged during the Forum

Nama perusahaan akan disebut dalam Forum ini

This year selected theme is:

Pilihan tema untuk tahun ini adalah ;

How the Country to Remain Viable for investor to gain from investing in the Conventional and Unconventional Resources business in Indonesia

Bagaimana untuk tetap menjadi Negara yang layak diminati oleh Investor untuk menanam modal nya untuk mendapatkan hasil usaha dari sumber daya alam Konvensional dan Unkonvensional di Indonesia

Expected more than 80 of attendance from the industry, including related government officials, PSC, service companies, and academic professionals.

Diharapkan dihadiri lebih dari 80 peserta dari kalangan industri, termasuk pejabat di pemerintahan terkait, KKKS, penyedia jasa, dan akademis profesional.

Sponsor entitles 4 (four) entry tickets to the Business Forum.

Sponsor mendapatkan 4 (empat) tiket masuk ke Forum Bisnis.

Limited to 2 (two) Companies

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Main Sponsor: Student Activity & Scholarship 3

Student Activity and Scholarship Program (m) 10,000 USD

Opportunity for any Company to support student activity during the symposium representing from university around the country, and from high school in Jakarta.

Kesempatan bagi Perusahaan yang akan mensupport kegiatan siswa yang mewakili dari beberapa perguruan tinggi se Indonesia, dan SMA di Jakarta.

Proceeds will be used to subsidize their activity cost, but majority will go thru IATMI’s regular Scholarship program

Hasil yang didapat akan dipergunakan untuk subsidi biaya kegiatan mereka, tetapi lebih besar akan diberikan melalui regular program Scholarship IATMI

Name of and Company logo will be display on the main backdrop, printed material, banner, and event backdrop, during; a. Smart Competition

3-Dec

Nama dan logo perusahaan akan diperlihatkan pada backdrop utama, printed material, banner, dan backdrop pada saat event berlangsung, selama; a. Smart Competition 3-Des

b. Paper Contest

4-Dec

b. Paper Contest 4-Des

c. Education Day

5-Dec

c. Education Day 5-Des

Expected more than 80 selected students will gather in this annual event, for their enrichment, opportunity to interface with their colleagues, and meet with industry peers.

Diharapkan lebih dari 80 siswa terpilih akan bertemu dalam ajang tahunan ini, untuk memperluas pengetahuan, mendapat kesempatan bertatap muka dengan teman dari sekolah lain, dan bertemu dengan rekan industri.

Sponsor entitles to 4 (four) registration entry tickets to the Symposium.

Sponsor mendapatkan 4 (empat) tiket masuk Simposium.

(s) single sponsor; (m) multiple sponsors

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Main Sponsor: Participating 1 Platinum (m) 10,000 USD Placing of Company name and logo on the main backdrop, and in some area during the symposium, from Mon thru Wed, 3-5 Dec, 2012, and during Golf Tournament on Sun, 2 Dec, 2012.

Nama dan logo perusahaan ditempatkan pada backdrop utama, dan di area selama simposium, pada hari Senin s/d Rabu, tgl 3-5 Des, 2012 dan pada waktu Golf Turnamen pada hari Minggu tgl 2 Des, 2012.

Company profile will be printed on the Program Booklet, and in the CD Proceedings.

Company profile akan diprint dalam Buku Program, dan dalam CD Proceedings.

Platinum Sponsor entitles 4 (four) entry tickets to the Symposium.

Sponsor Platinum mendapatkan 4 (empat) tiket masuk ke Simposium.

2 Gold (m) 8,000 USD Placing of Company name and logo on the main backdrop, and in some area during the symposium, from Mon thru Wed, 3-5 Dec, 2012, and during Golf Tournament on Sun, 2 Dec, 2012.



Company profile akan diprint dalam Buku Program dan dalam CD Proceedings.

Gold Sponsor entitles 3 (three) entry tickets to the Symposium.

Sponsor Gold mendapatkan 3 (tiga) tiket masuk ke Simposium.

3 Silver (m) 6,000 USD Placing of Company name and logo on the main backdrop, and in some area during the symposium, from Mon thru Wed, 3-5 Dec, 2012, and during Golf Tournament on Sun, 2 Dec, 2012.



Company profile akan diprint dalam Buku Program dan dalam CD Proceedings.

Silver Sponsor entitles 2 (two) entry tickets to the Symposium.

Sponsor Gold mendapatkan 2 (dua) tiket masuk ke Simposium.


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Program Sponsor: 1

Go Green and Blue (m) 5,000 USD

Opportunity for any Company to support Activity to implant mangrove to prevent coastal erosion and coral reef recovery to sustain marine life around one of the island of the thousand island.

Kesempatan bagi Perusahaan yang akan men-support kegiatan penanaman tanaman bakau untuk pencegahan erosi pantai, serta pemulihan terumbu karang untuk berlangsunganya kehidupan biota laut di sekitar salah satu pulau di kepualauan seribu.

Name of and Company logo will be display on the area concerned, printed material, and on banner place around the area of symposium;

Nama dan logo perusahaan akan diperlihatkan pada area berlangsung, printed material, dan banner yang ditempatkan diarea simposium;

Sponsor entitles to 2 (two) entry tickets to the Symposium.

Sponsor mendapatkan 2 (dua) tiket masuk Simposium.

2

CD/Program Booklet (m) 5,000 USD

Co.name and logo will be printed on the item, and on banner place around the area of symposium

Nama dan logo perusahaan akan dicetak pada barang tersebut, dan banner yang ditempatkan diarea simposium.

Sponsor entitles to 1 (one) entry tickets to the Symposium.

Sponsor mendapatkan 1 (satu) tiket masuk Simposium

3 Technical Discussion Group (m) FORTEK

USD

Opportunity for any Company to present for 10-15 Min of their (latest) technology applicable to increasing reserve and optimize production of conventional and unconventional resources.

Kesempatan bagi Perusahaan untuk mempresentasikan teknologi (terbaru) nya selama 10-15 Min yang dapat diterapkan untuk menambah cadangan dan optimize produksi dari sumber konvensional dan unkonvensional.

Name of and Company logo will be display on the backdrop at the event;

Nama dan logo perusahaan akan di display pada backdrop di acara tsb,

Sponsor entitles to 1 (two) entry tickets to the Symposium.

Sponsor mendapatkan 1 (dua) tiket masuk Simposium.


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3,000


Symposium Items: 1

Conference Bag (m) at Rp 350.000,- value

Company name and logo will be printed on the item, and on small banner place around the area of symposium

10,000 USD as a sole sponsor 7,500 as joined sponsor Nama dan logo perusahaan akan dicetak pada barang tersebut, dan banner kecil yang ditempatkan di area simposium.

2 Notepad (s) 5,000 USD at Rp 100.000,- value Company name and logo will be printed on the item, and on small banner place around the area of symposium

Nama dan logo perusahaan akan dicetak pada barang tersebut, dan banner kecil yang ditempatkan di area simposium.

3 Pen (s) 3,000 USD

at Rp 65.000,- value

Company name and logo will be printed on the item, and on small banner place around the area of symposium


4 Lanyard (s) 5,000 USD Company name and logo will be printed on the item, and on small banner place around the area of symposium


5 Satchel (s) 3,000 USD Company name and logo will be printed on the item, and on small banner place around the area of symposium



27


Symposium Social Events: 1 Luncheon (m)

3 days 4,000

Company name and logo will be placed during the Luncheon, and on small banner place around the area of symposium

Nama dan logo perusahaan akan diletakan pada acara makan siang, dan banner kecil yang ditempatkan di area simposium.

Sponsor entitles to 1 (one) registration tickets.

Sponsor mendapatkan 1 (satu) tiket registrasi.

2

Tea/Coffee Break (m) 2,500 USD (2x3days)

Company name and logo will be placed during the Tea/Coffee Break, and on small banner place around the area of symposium

3

USD

Nama dan logo perusahaan akan diletakan pada acara Tea/Coffee Break, dan banner kecil yang ditempatkan di area simposium.

Ice Cream (m) (2x3days) (2x3days)

Company name and logo will be placed during the Tea/Coffee Break, and on small banner place around the area of symposium

2,500 USD

Nama dan logo perusahaan akan diletakan pada acara Tea/Coffee Break, dan banner kecil yang ditempatkan di area simposium.

4 Cocktail (s) 5,000 USD (during Congress) Company name and logo will be placed during the Congress, and on small banner place around the area of symposium

Nama dan logo perusahaan akan diletakan pada acara Kongres, dan banner kecil yang ditempatkan di area simposium.

Sponsor entitles to 1 (one) registration tickets.

Sponsor mendapatkan 1 (satu) tiket registrasi.


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Rangkuman Keuntungan bagi para Sponsor Summary of Benefits for the Sponsor Main Sponsor

in k USD

Main Backdrop

Hanging Banners

Printed on the Booklet

CD Proceedings

Golf

15

ü

ü

ü

ü

ü

ü *

ü

ü

ü

Reg/ Tickets

1

Principal

8 (S)

2

Business Forum

12.5

3

Student Activity and Scholarship

10

ü

ü

ü

ü

4

Platinum

10

ü

ü

ü

ü

ü

4 (S)

5

Gold

8

ü

ü

ü

ü

ü

3 (S)

6

Silver

6

ü

ü

ü

ü

ü

2 (S)

in k USD

Main Backdrop

Hanging Banners

Booklet

CD Proceedings

ü *

ü

ü

ü

2 (S)

ü *

ü

ü

ü

1 (S)

ü

ü

ü

ü

Hanging Banners

Booklet

CD Proceedings

Printed on the Item

5 (B) 5 (S)

* during Business Forum

Program Sponsor 1

Go Green/Blue

5

2

Technical Discussion Group (FORTEK)

3

3

CD Program & Booklet

5

Reg/ Tickets

2 (S)

* during respective activity

Sponsor Item

in k USD

Main Backdrop

1

Bag (as sole sponsor)

10

ü

ü

ü

ü

1

Bag (as join/dual sponsor)

7.5

ü

ü

ü

ü

2

Lanyard

5

ü

ü

ü

ü

3

Pen

3

ü

ü

ü

ü

4

NotePad

5

ü

ü

ü

ü

5

Satchel

3

ü

ü

ü

ü

Hanging Banners

Booklet

CD Proceedings

Table Tag

4

ü

ü

ü

ü

Social Event

in k USD

Main Backdrop

1

Lunch

2

Tea/Coffee Break

2.5

ü

ü

ü

ü

3

Ice Cream

2.5

ü

ü

ü

ü

4

Cocktail (Congress)

5

ü

ü

ü

ü

Reg/ Tickets

Reg/ Tickets

2 (S)

2 (S)

Note: Those Sponsor for Principal, Platinum, Gold, and Silver will be placed on the main backdrop of Golf Tournament

29


Simposium Nasional Kongres XII Ikatan Ahli Teknik Perminyakan Indonesia

SPONSORSHIP APPLICATION FORM Please complete the following form, keep a copy for your record Sekretariat IATMI phone/fax: +62 21 520-3057 | email: [email protected] address Lt.1c Gedung Patra, Jl. Jend. Gatot Subroto Kav.32-34, Jakarta, 12950 - Indonesia website: www.iatmi.or.id

Company:..................................................................................................................... We would like to Sponsor: .............................................................................................. Amount:………………………… USD ......................................................................................... Billing Address:.............................................................................................................. ................................................................................................................................... City: ................................ Country: ............................. Postal Code:............................ Contact Name: .......................................... Title: ............................................................ Office Phone: .................................................... HP:.................................................... E-mail: ............................................................ Fax:................................................... Signed: ............................................................ Date:.................................................. Sponsorship Contact Person: Contact Atria Nursyantini A. Manan

Contact No +62 811 100-2996 +62 21 520-3057 +62 21 520-3057

email [email protected] [email protected] [email protected]

All payments must made by bank transfer, payable to: Bank CIMB Niaga, Cabang Pondok Indah Account No.: 017.01.30035.00.5 mssg: SIMNASKONG 2012 For Secretariat Use

30

Receipt date:

Reg. No.:


SIMPOSIUM NASIONAL & KONGRES XII IKATAN AHLI TEKNIK PERMINYAKAN INDONESIA

EXHIBITION OPPORTUNITY

31


1. Exhibition Period, and Event Schedule Each exhibitor is solely responsible for complying with all laws, ordinances and regulations pertaining public safety and fire prevention while participating in the exhibition period. Activity

Date, 2012

Application in for Exhibitor (Open - Close)

Mon, 15 Jul –Fri, 14 Sep - 2012 09:00 AM – 15:00 PM

Due date for Payment for the Space

5 (five) working days from date of registration is received, and confirmed, or otherwise, space(s) is open to next bidder

Exhibitor Assembling and Move In

Tue, 03 Dec 2012 18:00 PM – 23:00 PM

Exhibition Period (Hours)

Wed, 04 Dec – Thu, 05 Dec 09:00 AM – 15:00 PM

Exhibitor Dismantling and Move Out

Wed, 05 Dec 2012 (After 6.00 PM)

Note:

Exhibitors may enter the exhibition area one hour before opening time, and remain in the exhibit area one hour after closing time.

2. Exhibition Fees

(Excl. 10% Tax)

per meter square of space, with a standard stand => Rp 3.500.000 (Three Million Five Hundred Rupiah) per meter square of space, without the standard stands (space only): => Rp. 2.500.000,- (Two Million Five hundred Rupiah) a. Exhibition Reservation Form Please complete the attached Exhibition Reservation form, fax it to the IATMI Secretariat: Phone/Fax. +6221 520-3057 or e-mail scan copy to [email protected] or After receiving the form, the Secretariat will send to the applicant an acceptance of the application and an invoice for the payment for the rental fee.

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b. Early bird discount Applicant must book/reserve before Friday, 31 Aug 2012 to entitle for a 10% discount, and the form must be signed by a representative. c. Cancelation charges i. ii.

25 % before Friday, 09 Nov 2012. 50 % before Friday, 30 Nov 2012.

3. Exhibition a. Location Exhibition will be held around the Foyer of Mutiara Ballroom, Grand Melia Hotel, Jl. HR. Rasuna Said, Kuningan, Jakarta-Indonesia b. Stand Specifications each exhibitor will receive “standard shell scheme” with the following specification: • Walls:

2.4 m high rear and dividing wall partitions with white laminated in fill panels. • Fascia: Overhead fascia panel with cut-out company name and stand number. • Lighting: One 13 Amp/220 V power socket and two 40 Watt fluorescent tube lights. • Furniture: 2 folding chairs and 1 information counter (desk) • Carpet: Needle punch carpet • Cleaning: all booth/stands floors or/and removal of dry refuse from the booths/ stands. Cleaning will commence from 18.00 to 19.00 hours of exhibition period. Cleaning and clearing for Self-Build stands will be responsible of the exhibitors. • Storage: Exhibitor must be responsible for their own storage

c. Official Stand Contractor: (TBA - will be advised)

33


4. Self-build Stand Exhibitors with self-build stands should contact the official stand contractor, PT ……………………………………………………………………………………………, to discuss their requirements, and to advice IATMI about the structural/ dimensional drawing of the booth by Friday, 09 Nov 2012. Only authorized contractor is allowed to work within exhibition venue. Exhibitor are responsible for all required payment such as labor, utility, furniture, or other cost incurred in the set up, maintenance or dismantling stand and equipment. •

Display item should, in principle, be less than 2.5 m in height. For displays items over 2.5 m and two story structures, please submit diagram to the Organizer for further decision taken by the Organizer

•

Only the official contractor PT. ………..…………………………………………………………………is permitted to undertake any electrical work.

•

The exhibitor is responsible for daily removal of rubbish.

•

Failure to comply will result in the exhibitor being liable for rubbish removal fee of Rp 250,000/stand

•

Fabrication or construction is to be done in a manner that does not disrupt or interfere with the other exhibitor in the area

•

All display materials must be fire retardant

•

By Sunday 03 Dec 2012 at 22.00 hours all construction works and set up shall cease. All ladders, spare materials, trestles and other items involved with construction of stand shall be removed from the exhibition area.

34


5. Security Day and night security will be maintained by the Hotel, from Sun-Wed, 03 - 05 Dec 2012 (exhibition period). However, neither Hotel nor IATMI will be responsible for any loss, damage or personnel injury, regardless the cause. After the show, booths should not be left unattended until the personal property and portable exhibits have been removed, and rented items have been collected by appropriate suppliers. Exhibitors are strongly advised to have all items of value covered by insurance.

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6. Exhibition Layout

Notes: Booth no. 1 – 6 = 3 x 3 meters Booth no. 7 – 18 = 4 x 4 meters

36

R: IATMI Registration booth


EXHIBITION RESERVATION FORM IATMI phone/fax: +62 21 520-3057 | email: [email protected] 1st Floor Patra Jasa Office Tower, 1C, Jl. Jend. Gatot Subroto Kav.32-34, Jakarta, 12950 - Indonesia Company:........................................................................................................... would like to take on the following location: Booth no. 1 – 6 = 3 x 3 meters 1

2

3

4

5

6

would like to take on the following location: Booth no. 7 – 18 = 4 x 4 meters

7

8

9

13

14

15

10

11

12

16

17

18

Fee, per meter square (space only): with a standard stand => Rp 3.500.000,- (Three Million Five Hundred Rupiah) without the standard stands => Rp. 2.500.000,- (Two Million Five Hundred Rupiah) Booth No.: …………………….. Total SQ m: ……………………..… Amount:………………………………….. Rupiah ............................................................................................................... Billing Address:.................................................................................................... ......................................................................................................................... City: ................................ Country: ............................. Postal Code:.................. Contact Name: ………………………………………………………… Title: ....................................... Office Phone: .................................................... HP:.......................................... E-mail: ............................................................ Fax:......................................... Signed: ............................................................ Date:........................................

to:

Contact

Contact No

email

Dita

+62 811

100-2996

[email protected]

Nursyantini

+62 21

520-3057

[email protected]

A. Manan +62 21 520-3057 [email protected] All payments must made by bank transfer, with message: “SIMKONG 2012” Bank CIMB Niaga, Cab. Pondok Indah, Acct No.: 017.01.30035.00.5

For Secretariat Use

Receipt date:

Reg. No.:

37


Simposium Nasional Kongres XII Ikatan Ahli Teknik Perminyakan Indonesia

HOTEL GRAN MELIÁ

Jl. H.R Rasuna Said Kav. X-0 - Kuningan, Jakarta Tel: 021/526-8080 | Fax: 021/526-8181 e-mail: [email protected] Booking / Room Reservation 1-888-741-8931 ROOM CHOICE: • Deluxe Twin Room (two queen size bed) • Deluxe King Room (one king size bed) ROOM RATE INCLUDE: • Breakfast for one • 20% Published Rate • 10% Disc. on Laundry • 10% Disc. at Cafe Shop (except for alcohol) • Highspeed wired internet access available at a nominal fee 38


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IKATAN AHLI TEKNIK PERMINYAKAN INDONESIA REGISTRATION FORM. Business Forum Simposium Workshop. Company:

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