Registration Form

REGISTRATION FORM
1 JOO CHIAT COMPLEX #05-1007 S(420001)
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AIRLINES (Official Use Only)
6348 3498 (Office) I 9006 7568 (Whatsapp)
2 X PASSPORT
PNR (Official Use Only)
Registration Form
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CLASS (Official Use Only)
REMARKS (Official Use Only)
Fill in all details sign (Delete if applicable)
DEPARTURE TYPE
DEPARTURE TYPE
DEPARTURE DATE

DayMonthYear
Date
Number of Days
Quota Hajj
JEMAAH DETAILS
Full Name
Mothers Name
Place of Birth
Date of Birth (DD MM YYYY format)*

DayMonthYear
Date
Gender

MaleFemale
Address
Email address
example@example.com
Marital Status
Mobile Number *
Home Number
Occupation
IMMUNISATION TAKEN

MENINGICOCCALINLUENZA
Type of Illness Allergy
Blood type
Follow Mahram
PASSPORT DETAILS
Passport No
Nationality
Date of Issue

DayMonthYear
Date
Date of Expiry*

DayMonthYear
Date
NEXT - OF - KIN DETAILS
NAME
CONTACT
RELATION
SPECIAL REQUEST
WHEELCHAIR SERVICE :

YESNO
ROOM TYPE : DBL/ TRPL/ QUAD*
PAYMENT DETAILS

(Official Use Only)
DEPOSIT
RECEIPT
PART PAYMENT
1. I, understand and certify that all information given are accurate and true at the time of registration. 2. I, understand that the travel agency reserve the right to use the information given for flight, visa and hotel bookings. 3. I, understand that the travel agency reserve the right to deduce admin and/or cancellation fee from the initial deposit of SGD$1,000.

Payment Terms: Cash / Cheque / Paynow via UEN 200201971M
PDPA : By completing this form, I agree that Abu Bakar Travel Services Pte Ltd may collect, use and disclose the information I provided for travel updates, travel events or other relevant matters related to the travel agency.

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REGISTRATION FORM

PHOTO

2 X PASSPORT

Registration Form

PHOTO

DEPARTURE TYPE

JEMAAH DETAILS

PASSPORT DETAILS

NEXT - OF - KIN DETAILS

SPECIAL REQUEST

PAYMENT DETAILS