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1300 950 622
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Land Holidays
Guided Tours
Luxury Resorts
Luxury Hotels
Self-Guided Holidays
Short Breaks
Cruise Holidays
Expedition Cruises
Ocean Cruises
River Cruises
Small Ship Cruises
Solo & Group Travel
Group Travel
Solo Travel
Blog
About Us
Contact Us
Guest Information Form
Consultant Name
*
Trip Number
*
Supplier Reference Number
Name of Service
*
Date of Service
*
Date Format: MM slash DD slash YYYY
Guest Details
** Please note: Passport holders must have at least 6 months validity from the date you arrive back into Australia. Please ensure you have enough blank pages to meet the requirements for travel **
Number of Guest/s
1
2
3
4
Guest 1
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Middle
Last
Gender
Male
Female
Date of Birth
*
Date Format: DD slash MM slash YYYY
Passport Number
*
Issue Date
*
Date Format: DD slash MM slash YYYY
Expiry Date
*
Date Format: DD slash MM slash YYYY
City & Country of Issue
*
City & Country of Birth
*
Nationality / Citizenship
*
Frequent Flyer
Guest 2
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Middle
Last
Gender
Male
Female
Date of Birth
Date Format: DD slash MM slash YYYY
Passport Number
Issue Date
Date Format: DD slash MM slash YYYY
Expiry Date
Date Format: DD slash MM slash YYYY
City & Country of Issue
City & Country of Birth
Nationality / Citizenship
Frequent Flyer
Guest 3
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Middle
Last
Gender
Male
Female
Date of Birth
Date Format: DD slash MM slash YYYY
Passport Number
Issue Date
Date Format: DD slash MM slash YYYY
Expiry Date
Date Format: DD slash MM slash YYYY
City & Country of Issue
City & Country of Birth
Nationality / Citizenship
Frequent Flyer
Guest 4
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Middle
Last
Gender
Male
Female
Date of Birth
Date Format: DD slash MM slash YYYY
Passport Number
Issue Date
Date Format: DD slash MM slash YYYY
Expiry Date
Date Format: DD slash MM slash YYYY
City & Country of Issue
City & Country of Birth
Nationality / Citizenship
Frequent Flyer
Contact Details
Guest 1
Overseas Mobile Contact
*
Home Phone Contact
*
Email
*
Address Line 1
*
Address Line 2
City
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
Different Contact Details for Guest 2?
Yes
No
Guest 2
Overseas Mobile Contact
*
Home Phone Contact
*
Email
Address Line 1
*
Address Line 2
City
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
Emergency Contact Details
Name
*
Relationship
*
Daytime phone contact
*
After hours phone contact
*
Mobile phone contact
*
Email
Address Line 1
*
Address Line 2
City
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Post Code
*
Different Emergency Contact Details for Guest 2?
Yes
No
Guest 2
Name
*
Relationship
*
Daytime phone contact
*
After hours phone contact
*
Mobile phone contact
*
Email
Address Line 1
*
Address Line 2
City
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Post Code
*
Flight / Train Details
Please note: Documentation will not be sent until all pre and post information is provided. This includes flight/train number, date, city pairs, airport/train stations, and times
Do you require assistance?
*
Yes
No
If required, please include your preferred travel dates and booking class:
Pre & Post Cruise or Tour Information
Accommodation details for pre & post. Full hotel name, address, contact number and dates of stay
Miscellaneous Details
Special Requests
Travel Insurance
We strongly recommend all guests independently purchase comprehensive Travel Insurance for the full purchase price of the cruise/tour as well as air and/or land program arrangement costs plus medical cover.
Do you require travel insurance?
*
Yes
No
If no, please advise the following:
Policy Number
Insurance Company
Phone number
OR Choose not to insure
Visas
Do you require visas?
*
Yes
No
Discerning Traveller can assist with the processing of visa applications. The applicable fee is determined by location of Consul.
Accept Terms & Conditions
*
On behalf of the persons named, I have read, understood and accept the
Terms & Conditions
.
Useful Links
Contact Us
Level 1, 171 Clarence Street, SYDNEY NSW 2000 Australia
(Appointments Essential)
1300 950 622
reservations@discerningtraveller.com.au
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