Kindly fill in the needed information in
CAPITAL LETTERS
then simply fill and send it back to us.
Personal Data
First Name:
Mr.
Mrs.
Miss
Ms.
Dr.
Last Name:
(as it appears in your passport)
Address
P.O.Box
City
Zip Code
Telephone
Mobile(optional)
Email
Fax
Company Name
Position
Passport No
Expiry Date
Day
Month
Year
Other Nationality (if Any):
Personal credit card if available for emergencies (optional)
Type:
No.
Expiry Date:
Day
Month
Year
Spouse's First Name
Spouse's Family Name:
Passport No.
Expiry Date:
Day
Month
Year
Children's First Name:
1-
Date of Birth
Day
Month
Year
Passport No.
Expiry Date:
Day
Month
Year
2-
Date of Birth
Day
Month
Year
Passport No.
Expiry Date:
Day
Month
Year
3-
Date of Birth
Day
Month
Year
Passport No.
Expiry Date:
Day
Month
Year
PREFERENCES
Preferred Airlines:
Preferred
Class of Service:
Economy
Business
First
Preferred
Seat on Board:
Aisle
Window
Exit
Preferred
Meal:
Regular
Vegeterian
No Cholestrol
Diabetic
Sea food
No Salt
Musilm Meal
Frequent Flyer Program Memberships:
Airline:
No.
Airline:
No.
Airline:
No.
Airline:
No.
Preferred Hotel Chains:
If yes, Membership card No.
Starwood
Yes
No
Six Continents
Yes
No
Four Seasons
Yes
No
Marriott Hotels
Yes
No
Hyatt Int.
Yes
No
Le Meridien
Yes
No
Radisson SAS
Yes
No
Preferred
Room :
Sea View
Side View
Standard
Executive
Suite
Single
Double
Triple
Smoking
Non Smoking
