formulir pendaftaran

Formulir Pendaftaran Program Edukasi
Transforma Institute
1. PROGRAM EDUKASI
Berikut ini program edukasi Transforma Institute pada Agustus – Oktober 2015:
Kode
PE1
PE2
PE3
PE4
PE5
PE6
PE7
PE8
PE9
PE10
2.
Deskripsi Program
Manajemen Risiko dan Keamanan Informasi Berbasis ISO 27000 Series
Kamis-Jumat 20-21 Agustus 2015 @ De Java Hotel, Biaya Investasi Rp 3.950.000 (Include PPN)
CISA (Certified Information System Auditor) Review 2015
Senin-Jumat 31 Agustus-4 September 2015 @ FaveHotel, Biaya Investasi Rp 5.450.000 (Include PPN)
Biaya Optional:
Membership ISACA, Buku Import CISA Review 2015, CDROM Database Soal-Jawab CISA, silakan kontak lebih lanjut
dgn admin jika berminat
Data Governance berbasis DAMA BOK: Peningkatan Manajemen Data Menuju Business Value
Kamis-Jumat 03-04 September 2015 @ H Clarity Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
Implementasi IT Governance: Identifikasi Model Operasi TI, Maturity Assessment, Struktur, (Kebijakan dan
SOP)
Kamis-Jum’at, 10-11 September 2015 @ The Luxton Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
CISM (Certified Information Security Manager) Review 2015
Senin-Jumat, 14-18 September 2015 @ Grand Setiabudi Hotel, Biaya Investasi Rp. 5.450.000 (Include PPN)
Biaya Optional:
Membership ISACA, Buku Import CISM Review 2015, CDROM Database Soal-Jawab CISM, silakan kontak lebih
lanjut dgn admin jika berminat
Penyusunan Master Plan TI Berbasis Enterprise Architecture: Pencapaian Tujuan Bisnis dan Pemenuhan
Kepatuhan atas Regulasi
Selasa-Rabu, 22-23 September 2015 @ Ibis Trans Studio Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
CGEIT (Certified Governance of Enterprise IT) Review 2015
Senin-Jumat, 05-09 Oktober 2015 @ Grand Setiabudi Hotel, Biaya Investasi Rp. 5.450.000 (Include PPN)
Biaya Optional:
Membership ISACA, Buku Import CGEIT Review 2015, CDROM Database Soal-Jawab CGEIT, silakan kontak lebih
lanjut dgn admin jika berminat
Strategi Big Data Analytics: Menuju Transformasi Bisnis berdasarkan Data yang berkualitas
Kamis-Jumat , 08-09 Oktober 2015 @ Grand Setiabudi Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
Core Application Development/Modernization Project Risk Management: Multi-Dimensional Perspective
Kamis-Jumat, 15-16 Oktober 2015 @ Savoy Homann Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
COBIT 5: Proses dan Implementasi
Rabu-Jumat, 21-23 Oktober 2015 @ Golden Flower Hotel, Biaya Investasi Rp. 3.950.000 (Include PPN)
FASILITAS HOTEL
Fasilitas hotel berikut ini bersifat optional (silakan kontak jika membutuhkan informasi hotel lainnya):
Kode
H1
H2
H3
H4
H5
H6
H7
H8
Deskripsi Fasilitas
De Java Hotel, Jl. Sukajadi No.148-150 Bandung, T. 022-2039888, Deluxe, Rate Rp 678.000/malam weekdays
Favehotel, Jl. Cihampelas No. 129 Bandung, T. 022-2030300, Standard, Rate Rp. 528.000/malam Weekdays
H Clarity Hotel, Jl. Cihampelas No. 211 Bandung, T. 022-30008888, Deluxe, Rate Rp. 800.000/malam weekdays
The Luxton Hotel, Jl. Ir. H. Juanda No. 18 Bandung, T. 022-4220700, Deluxe, Rate Rp. 830.000/malam weekdays
Grand Setiabudi Hotel, Jl. Setiabudi 130-134 Bandung, T. 022-2044002, Deluxe, Rate Rp 666.000/malam weekdays
Ibis Trans Studio Hotel, Jl. Gatot Subroto No. 289 Bandung, T. 022-87345555, Standard, Rate Rp. 650.000/malam
weekdays
Savoy Homann Hotel, Jl. Asia Afrika No. 112 Bandung, T. 022-4232244, Deluxe, Rate Rp 715.000/malam weekdays
Golden Flower Hotel, Jl. Asia Afrika No. 15-17 Bandung, T. 022-4239999, Superior, Rate Rp. 620.000/malam
weekdays
Formulir Pendaftaran Program Edukasi
Transforma Institute
DATA PESERTA:
No
1
Nama
Jabatan
2
3
4
5
BIAYA TOTAL
Nomor HP & Email
HP:
Email:
HP:
Email:
HP:
Email:
HP:
Email:
HP:
Email:
Pilihan Paket (Lingkari Pilihan)
PE1/PE2/PE3/PE4/PE5/PE6/PE7/PE8/PE9/PE10
H1/H2/H3/H4/H5/H6/H7/H8 = ….. malam
PE1/PE2/PE3/PE4/PE5/PE6/PE7/PE8/PE9/PE10
H1/H2/H3/H4/H5/H6/H7/H8 = ….. malam
PE1/PE2/PE3/PE4/PE5/PE6/PE7/PE8/PE9/PE10
H1/H2/H3/H4/H5/H6/H7/H8 = ….. malam
PE1/PE2/PE3/PE4/PE5/PE6/PE7/PE8/PE9/PE10
H1/H2/H3/H4/H5/H6/H7/H8 = ….. malam
PE1/PE2/PE3/PE4/PE5/PE6/PE7/PE8/PE9/PE10
H1/H2/H3/H4/H5/H6/H7/H8 = ….. malam
: .................................................................................................................................................................................
DATA ORGANISASI/PERUSAHAAN:
Nama
: ................................................................................................................................................................................
NPWP
: ................................................................................................................................................................................
Alamat
: ................................................................................................................................................................................
Contact Person : ……………………………………………………………..................................................................................................................
HP/Telepon
: ………………………………………..................... Fax / E-mail: ............................................................................................
Bandung, ......................................2015
Rekening:
Bank BRI KCP Suci
No. Rek. 2105-01-000048-30-7
a.n. PT. Transforma Rekayasa dan Solusi
______________________________
Tanda tangan & Nama Lengkap
Keterangan:
Untuk kepastian penyiapan training kit dan fasilitas lainnya, mohon formulir terisi & bukti transfer dapat dikirim sebelum batas akhir
pendaftaran (H-3) (ke nomor fax: +62-22-8724-1348 atau email ke [email protected]
Pembatalan setelah batas akhir pendaftaran, dikenakan biaya administrasi 50%.