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Borang Permohonan Pas Akreditasi Media

Media Pass Accreditation Application Request Form

 

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|SECTION A : DATA PERIBADI / PERSONAL DETAILS |

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|NAMA |  |

|NAME: |  |

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|LANTIKAN: |           Pemberita Jurugambar Wartawan Foto Jurukamera |

|DESIGNATION: |Reporter Photographer Photojournalist Cameraman |

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| |Penyunting Penerbit Penyampai Pengacara TV |

| |Editor Producer Presenter TV Host |

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| |Wartawan Juruteknik Krew Lain-lain |

| |Correspondant Technician Crew Others: ……………………………… |

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|ORGANISASI: | |

|ORGANISATION: | |

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|ALAMAT ORGANISASI: |  |

|ORGANISATION ADDRESS: | |

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|TARIKH LAHIR: | |JANTINA: |                         |

|DATE OF BIRTH: | |GENDER: | |

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|  |(Pejabat / Office) |  |  |

|TELEFON: | |(Telefon bimbit / Mobile) |  |

|TELEPHONE: | | | |

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| |(Emel / Email) |(Laman Sesawang / Website URL) | |

|EMEL ATAU LAMAN SESAWANG: | | | |

|EMAIL OR WEBSITE: | | | |

|SECTION B : KATEGORI MEDIA / TYPE OF MEDIA |

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|KATEGORI MEDIA: |         |

|TYPE OF MEDIA: |           Suratkhabar Fotografi Akhbar Kawat Berita Berita dalam talian |

|Sila pilih satu / |Newspaper            Photography Press          Wire news Online |

|Please tick one |  |

| |    Lain-lain, Sila nyatakan / |

| |Others, Please Specify: ………………………………………………….. |

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|  |  |EDARAN: |  |

|JUMLAH SASARAN AUDIENS: | |CIRCULATION: | |

|NUMBER OF TARGET AUDIENCE: | | | |

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|TARIKH KETIBAAN: |  |  |  |

|ARRIVAL DATE: | |JAM KETIBAAN: | |

| | |ARRIVAL TIME : | |

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|TARIKH BALIK: | |JAM BALIK: | |

|DEPARTURE DATE: | |DEPARTURE TIME: | |

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|TEMPAT TINGGAL SEMASA DI NEGARA BRUNEI DARUSSALAM : |

|PLACE OF STAY WHILE IN BRUNEI DARUSSALAM: |

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|ORANG / WAKIL YANG BOLEH DIHUBUNGI DI NEGARA BRUNEI DARUSSALAM (JIKA ADA): |

|CONTACT PERSON / COORDINATING AGENCY IN BRUNEI DARUSSALAM (IF ANY): |

|NAMA / NAME : |

|NOMBOR TELEFON / PHONE NUMBER: |

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|Untuk kegunaan Pejabat / For Office use: |

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|Petugas I Employee-in-charge: |

|Disahkan oleh I Verified by: |

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|Kod I Code: |

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|Tandatangan I Signature: |

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|Kod I Code: |

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|Tandatangan I Signature: |

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|Tarikh I Date: |

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|Tarikh I Date: |

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ULASAN / COMMENTS: ___________________________________________________________________________________

SILA AMBIL PERHATIAN / PLEASE NOTE

1.     Semua wakil media asing mesti memiliki visa dan pasport yang sah untuk masuk ke Negara Brunei Darussalam. Sebarang pertanyaan, Sila hubungi: Suruhanjaya Tinggi dan Kedutaan Negara Brunei Darussalam di negara masing-masing. Media juga boleh merujuk laman web Kementerian Luar Negeri dan Perdagangan Brunei Darussalam untuk keperluan visa di .bn

All foreign media representatives must be in possession of a valid visa and passport for entry into Brunei Darussalam. Please enquire at the Brunei Darussalam High Commissions and Embassies at your respective countries. The media may also refer to the website of Brunei Darussalam’s Ministry of Foreign Affairs and Trade for visa requirements at .bn

2.     Pengimportan sementara peralatan dibenarkan tertakluk kepada kelulusan Kastam. Senarai dan peralatan hendaklah ditunjukkan untuk pemeriksaan semasa tiba di balai ketibaan kastam Lapangan Terbang Antarabangsa Brunei.

Temporary importation of equipment is allowed subject to Customs approval. The list of equipment must be produced on arrival at the customs hall of the Brunei International Airport.

3. Semua wakil media dikehendaki melampirkan:

All media representatives are required to attach:

i. Satu salinan pasport (yang menunjukkan tarikh mansuh)

A copy of their passport (clearly showing the passport expiry date)

ii. Satu salinan gambar berwarna berukuran passport

A softcopy of their passport size coloured photo

iii. Pas atau pengenalan media yang dikeluarkan oleh agensi bertugas

Media pass or Press Identification issued by their agency

iv. Surat Tugasan

Letter of Assignment

v. Surat Kebenaran dari agensi-agensi berkaitan (Kementerian-kementerian atau Jabatan-jabatan berkaitan seperti Jabatan Kemajuan Pelancongan bagi tempat-tempat menarik, Jabatan Penerbangan Awam bagi Penggunaan Drone dan lain-lain)

Permission/ approval letter from relevant agencies (Ministries or Departments in Brunei Darussalam such as Tourism Development Department for places of interest, Department of Civil Aviation for usage of Drone and others)

vi. Senarai Peralatan (khusus media luar negeri)

Equipment List (specifically foreign media)

4.     Semua media mestilah memakai Pas Media semasa membuat liputan

Media Pass must be worn at all times when making news coverage.

5.     Jika Pas Media ini hilang atau tercicir, sila laporkan ke balai polis berhampiran dan seterusnya memaklumkan kepada Pengarah Jabatan Penerangan,

In the case of lost Media Pass, please report to the nearest police station and inform the Director of the Department of Information.

Bagi sebarang pertanyaan, sila hubungi alamat berikut: Any enquiries, please contact following address:

Unit Perhubungan Awam dan Perkhidmatan Media Public Relations and Media Services Unit

Jabatan Penerangan Department of Information

Jabatan Perdana Menteri Prime Minister’s Office

Lapangan Terbang Lama Berakas, BB3510 Old Airport Berakas, BB3510

Negara Brunei Darussalam  Brunei Darussalam

Telefon: 6732380 400 ext 402 Telephone: 6732380 400 ext 402

Emel: mediaservices@.bn Email: mediaservices@.bn

 

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