Kindly fill in the needed information in CAPITAL LETTERS then simply fill and send it back to us. 

Personal Data
       
First Name: 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

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