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IMPORTANT!! Please make sure that it is the name shown on your passport. (*) is a compulsory field
Title *
Given Name *
Family Name *
IMPORTANT!! Please furnish complete e-mail address so that our reply could reach you
E-mail Address * Correspondence E-mail address
Second E-mail Address
Telephone No
Fax No
Hotel Name
Correspondence Address
Country of Residing
Nationality  *
Choice of Hotels
Type of Occupancy
Number of rooms required
Indicate here if more than 1 type of room is required.
Please also furnish us the name of the guest for the other rooms.
Intended duration of Stay
Date of Check In * (DD/MM/YY)
Date of Check Out * (DD/MM/YY)
Special Request
Preferred payment method *
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