Online Registration

Welcome to Summer Mission 2019

Congratulations! You are a few step away from a life changing experience and intimate journey with Jesus. To register, please follow these step below ----- NOTE: FIRST HALF TRIP ARE CLOSED
STEP 1: Applicant are required to fill the form below include with passport identification data & photo ID in JPG / PNG / PDF file by uploading the files at the end of this form. Please prepare required files in advance before filling out this Registration Form.
 
STEP 2: Download the Reference Letter file and hand it to your Pastor/elder at church. Ask them to fill confidentially and submit via email directly to indonesia.summermission@gmail.com.
 
STEP 3: Payment & fill payment confirmation form.
Please note that all information will remain confidential but may be revealed in an emergency situation.
 
NOTE: First Half Trip - CLOSED (reached maximum quota)

 

PERSONAL INFORMATION

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EMERGENCY CONTACT INFORMATION

 

TRAVEL DOCUMENT INFORMATION

 

CHRISTIAN LIFE INFORMATION

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WHAT DO YOU FEEL THAT YOU CAN CONTRIBUTE TO A TEAM BY WAY OF ABILITIES AND TALENTS
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PLEASE LIST 3 PEOPLE (OTHER THAN FAMILY MEMBERS OF YOUR FAMILY) AND THEIR EMAILS WHO WOULD LIKE TO COMMIT TO PRAY FOR YOU DURING THE TRIP:
 

AGREEMENT TO POLICIES AND PROCEDURES

I understand that I am making myself available for ministry and Spiritual training, church meetings, home visits, Bible studies and sharing my faith in Christ both personally and publicly.

If a cancellation is made in a timely fashion, any donations received before cancellation notice may be transferred to another trip made through Summer Mission within one year of the the original trip's departure date. If tickets, visas, insurance, or other purchases have been made for my trip before cancellation, I will be responsible for these expenses. I acknowledge that each participants is responsible for his own trip expenses, including ones accrued due to schedule changes or other unforeseen circumstances.

I acknowledge and willing to set aside denominational & cultural differences while on Summer Mission trip for the good of the team

I hereby acknowledge the inherent risk of international travel and the fact that injury, death, or disease might occur during or as a result of my voluntary service in Summer Mission, and fully understanding that the risk associated with such service may include, but not limited to, injury or death by accident, disease, terrorist acts, adverse weather conditions and inadequate medical care, and/or damage to, or loss of, personal property.

I, in consideration of the benefits derived from being accepted for service, hereby volunteer my services despite such hazards. I willingly assume these risks, and I hereby waive any and all claims against the participating local and international organizations as well as the sponsoring institutions, their officers and employees, and the leaders of Summer Mission, for any and all causes in connection with the activities of above organizations and individual on this Summer Mission.

By clicking "I AGREE" below, I agree to adhere to all of the above statements.
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COMPLETION DATA

PLEASE UPLOAD THE FILE REQUIRED FOR DATA COMPLETION BELOW
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PAYMENT

FULL TRIP

EARLY BIRD PRICE: USD 1000 (IDR 14.000.000)
  • Deposit/full payment must be received by the latest 30 April 2019
REGULAR PRICE: USD 1600 (IDR 22.400.000)
  • For deposit/full payment that made after 30 April 2019
 

HALF TRIP

FIRST HALF TRIP (13 – 19 July 2019) - CLOSED REGISTRATION : USD 750 (IDR 10.500.000)
  • Enter and exit from Atambua
  • Cities: Atambua - Betun
SECOND HALF TRIP (19 – 28 July 2019) : USD 750 (IDR 10.500.000)
  • Enter from Atambua and exit from Surabaya, East Java (inclusive 30th Anniversary Summer Mission Alumni Gathering on 27th July)
  • Cities: Kefamenanu - Soe - Kupang - Surabaya
 

NOTE

  • A minimum of 50% down payment is required within 2 weeks of application submittance (with the exception of payment via Tokopedia installments). Full payment must be received by 31 May 2019.
  • Cancellation after 30 April 2019 is subject to NO REFUND OR payment received can be applied for Summer Mission 2020

PAYMENT METHOD

  1. BANK TRANSFER
    • SWIFT Code        : CENAIDJA
    • Account number : 468-3843-299
    • Account name     : Felicia Prijadi & Hadi Wijaya Njoto
  2. CREDIT CARD & INSTALLMENT via TOKOPEDIA.COM
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Please head to PAYMENT CONFIRMATION page after payment has been made