I. PERSONAL PARTICULARS
FIRST NAME* (as per passport)
LAST NAME* (as per passport)
Passport Number*
Passport Expiry Date*
IR ID
Network Group Name
Nationality
Country		- Select country - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Armenia Aruba Australia Austria Azerbaijan Azores Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Islands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Island Columbia Comoros Congo Cook Islands Costa Rica Cote D’ lvoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Islands Finland France French Guiana French Polynesia (including Tahiti) Gabon Sudan Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong S.A.R Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau S.A.R Macedonia, Former Yugoslav Republic of Madagascar Madeira Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia St Helena St Kitts-Nevis St Lucia St Pierre & Miquelon St Vincent & Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solmalia Solomon Islands South Africa South Georgia And The South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard And jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Gambia Togo Tonga Trinidad & Tobago Tunisia Western Sahara Turkey Turkmenistan Turks and Caicos Tuvalu Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Yemen Yugoslavia Zambia Zimbabwe
Gender		Male Female
Date of Birth
Email Address *
Mobile No.*
Home/Office No.*
II. HOTEL DETAILS
Choice Of Hotel
Check-in Date
Check-out Date
Airport Transfer Required		No	Yes, for	people
				(Please indicate total number of people)
III. FLIGHT DETAILS
Name of Traveller (as per passport)
Adult
1. Name
Nationality
2. Name
Nationality
3. Name
Nationality
Child (3-11 years old)
1. Name
Date of Birth
2. Name
Date of Birth
3. Name
Date of Birth
Destination
Departure City (From)
Destination City (To)
Return Ticket?		No	Yes
Travelling Dates (Month/Day/Year)
From				Preferred Timing Morning Afternoon Night
To				Preferred Timing Morning Afternoon Night
Preferred Airlines
IV. PAYMENT MODE
Choice of Payment Method* Cash / Cheque / Telegraphic Transfer** Credit Card E-Card QuestNet E-Voucher ** Cheques have to be issued from a Singapore Licenced Bank in either USD or SGD. All telegraphic transfers / bank wire transfers are to be made FOB (Free of Bank Charges). Important Notes: All reservations are on first-come-first-served basis. Please submit your form via fax to +65 6491 0899 or email to customercare@bonvo.com *Mandatory fields