Booking Date
*
-
Day
-
Month
Year
DD-MM-YYYY
Number of Passengers
*
Trip Type
*
1-Way Only
2-Way
3-Hours Block Timing
Bus Type
*
40 - 45 seater
19 - 23 seater
10 seater
Wheelchair Accessible Van
7 seater Limo
Number of Bus(es) / Vehicle(s)
*
Pick-Up Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Next Pick-Up Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Time Required From / To
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Requester Name
*
Mr.
Ms.
Mrs.
Mdm.
Dr.
Prefix
First Name
Last Name
Requester Email
*
example@example.com
Requester Mobile Number
*
Format: 00000000.
Address to Pick-Up Passengers
*
Address to Drop-Off Passengers
*
For Billing Purpose to Use the Above Pick-Up Address?
*
Yes
No, use Billing Address in Remarks
Remarks
Please indicate: 1. purpose of trip(s); 2. for billing purpose provide company/institution name and address if different from Pick-Up Address; 3. additional address(es) to pick-up and/or drop-off (if any)
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