| |
|
| |
|
|
|
|
Your Personal details. This information will be kept strictly confidential.
Note: The *Marked field must be fill up. |
|
|
*Name (as passport) |
Mr
Mrs
Ms |
|
|
|
|
|
| |
*Address |
|
|
|
| |
City/Town |
|
|
|
| |
*Country |
|
|
|
*Telephone No.(included Country code) |
|
|
|
Mobile(included country code) |
|
|
|
Fax (includeed Country code) |
|
|
|
*E-mail |
|
|
|
|
Alternate E-mail |
|
(If any) |
|
|
Local Contact Information |
(Note: If you fill up the Local Company Name then must have to fill up
the other * mark field in Local Information Section) |
|
Local Company Name |
|
|
|
Local Person Name |
|
|
|
Local Person Address |
|
|
|
Telephone |
|
|
|
Mobile |
|
|
|
|
Flight Information (if any) |
|
Arrival |
|
|
|
Departure |
|
|
|
|
|
|
|
Super Deluxe Room(Twin Bed)
|
|
|
|
Number of Rooms |
|
|
|
Super Deluxe Room(King Size Bed)
|
|
|
|
Number of Rooms |
|
|
Super Deluxe Room(For Single Occupancy)
|
|
|
|
Number of Rooms |
|
|
*Number of adults person |
|
(included children, age > 12 yrs) |
|
*Number of Children |
|
|
|
Ages of Childrens (yrs) |
|
|
|
*Check-in Date |
|
|
|
|
|
|
*Check-Out |
|
|
|
|
|
|
*Expected check-in after 18:00? |
|
|
|
*Airport pickup required |
|
|
|
*Select your payment type |
|
|
|
Card Number |
|
|
|
Card Expiry Date |
|
|
|
|
|
| |
|
|
| |
|
| |
|
