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Garuda Indonesia Update Member Form

Newsletter
Form Application
GarudaMiles Member

Sign me as GarudaMiles & I agree with GarudaMiles Terms and Conditions

For further information about GarudaMiles Member, please click here

Personal Information
 * must be filled
Name must be written in accordance with your passport or identity card
  
Salutation *First Name & Middle Name *Last Name *
Mr   Ms   
 
Place of Birth  /  Date of Birth*

Nationality *Preferred Language *
 English   Indonesian
ID Card *Passport NoPassport Country
   Is Passport
Passport Exp. Date
Hobby *
Art
Automotive
Cycling
Dining
Diving
Fishing
Fitness
Games
Golf
Movies
Music
Photography
Reading
Running
Shopping
Surfing
Tennis
Travelling
You may choose more than one
Contact Information
Email Address & Mobile Phone number are absolutely necessary to apply
E-mail *Confirm - Email *


Mobile Phone *Home / Office Phone *Region Code *
  +    +
    
Your GarudaMiles Card will be sent to this mailing address, therefore it is very important to ensure the address is valid and correct
Address Type *Address *
Home   Company
Country *
Province / State * 
City * 
Postal Code / Zip *
Company Name *Department Name *


Form Application
Security Question 1 *Answer * 


 
Security Question 2 *Answer * 


 
Verification Question

Data Security
GarudaMiles Number *Old Password *


Password *Confirm password *



GarudaMiles SYNC
GarudaMiles Number *GarudaMiles Password *