IMPORTANT!
Please make sure that it is name shown on your passport.
(
*
) is compulsory field.
FLIGHT INFORMATIONS :
Departing From
Destination
Date of Departure
*
Time
(07.00)
Date of Return
Time
(12.00)
Airline
GUEST INFORMATIONS :
Contact Person
Mr
Mrs
Ms
*
Contact Numbers
*
at home
at office
cellular phone
E-mail address
Contact Address
Name of the Passengers
1. For International Flight, Name of the Passengers must be specified as written on the Passport.
2. For Children ( 2 - 11 years old ) or Infant ( under 2 years old ), their age must be stated after their names.
*
i.e :
1. Mr. Kiat Siauw Budi
2. Mrs. Agnes Natalia
3. Ms. Angie 05 Yr
Other request
© 1999 - 2008 Copyright by Bayu Buana Travel Services. All Right Reserved
Head Office : Jl. Ir. H. Juanda III. No. 2A Jakarta 10120, Indonesia Ph. : (62-21) 2350 9999 (Hunting) Fax. : (62-21) 3517432, 3861955
