Kerala and the Magic of India's Malabar Coast

Your passport details

You much make sure your passport has at least six months remaining from your return date.
Your nationality*
Your passport number*
If you are renewing a passport please put TBC
Issuing country*
Your passport issue date*

DayMonthYear
day/month/year
Your passport expiry date*

DayMonthYear
day/month/year

Travel Insurance

You must have travel insurance to travel, it is your responsibility to check it offers adequate coverage for the tour you have booked.
Your Travel Insurance company name*
If you do not have insurance at this time please put TO BE CONFIRMED
Your policy number*
If you do not have this information at this time please put TO BE CONFIRMED
Emergency contact number for insurance company*
If you do not have this information at this time please put TO BE CONFIRMED

Details of who to contact in case of an emergency

Who can we get in touch with on your behalf if we need to?
In an emergency, please contact:*

First NameLast Name
Telephone number to try in the first instance*
Please enter a valid phone number including a country code if outside the UK .
A back-up number
such as a work or mobile number

Some questions about your mobility
Do you have mobility issues we should know about?*

YesNo
Do you have any disabilities?*

YesNo
If you have responded 'YES' to either of these questions, in order to best support you, we will ask you to fill in a follow-up form with more detailed questions that will help us help you.

Medical & health details
Will you be travelling with prescription medication?*

YesNo
If you have been prescribed medication by your Doctor and require it during your flight please make sure you have a letter from your Doctor confirming the type of medication, name of the drug, and what the medication is for along with dosage and any other medical items like syringes, Epi-pens. Please keep all these items in their original packaging with labelling confirming this has been prescribed for you and only carry sufficient for your journey. Additional medication can be stored in your luggage.
or medical equipment (other than a wheelchair or mobility scooter)?*

YesNo
Is there anything further you might like to tell us about you/your health to best support your holiday experience?

Have we missed something?
Please let us know if there is anything you might like to convey
Or skip and go on to the next page

And finally, where did you find out about this tour?
You can tick more than one option*

A friendAn ECT emailAdvertisementSocial MediaA club newsletterI am a previous ECT Traveller

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