Booking - CBT Holidays

Booking

Tour: Japan Explorer
Code: JE241120
Departure Date: 20/11/2024
Airline: Land Only

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Traveller details

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Attach Passport {{ item.passportFileName }} Remove traveller

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Visa Applications

Who is handling your Visa application ?

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Contact details

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Additional details

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PLEASE CLICK HERE IF YOU ARE A TRAVEL AGENT

Travel Agent Information

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Confirm your detailsEdit

Tour: Japan Explorer
Code: JE241120
Departure Date: 20/11/2024
Airline: Land Only

Departure City: {{ form.departureCity }}
Room Type: {{ form.roomType }}

Traveler detailsEdit

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Surname: {{ traveller.surname }}
Other names: {{ traveller.otherNames }}
Contact number: {{ traveller.tel }}
Frequent flyer number: {{ traveller.frequentFlyerNumber }}
Passport: {{ traveller.passportFileName }}

Visa ApplicationsEdit

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Contact detailsEdit

Email: {{ form.contactEmail }}

Address 1: {{ form.contactAddress }}
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Additional detailsEdit

Next of Kin name: {{ form.nextOfKinName }}
Contact number: {{ form.nextOfKinContectNumber }}

Physical, medical or dietary considerations:
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Travel Agent Information Edit

Agency name: {{ form.agentName }}
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Fax: {{ form.agentFaxNumber }}

Consultant name: {{ form.agentConsultantName }}
Email: {{ form.agentEmail }}
Phone number: {{ form.agentPhoneNumber }}

Address 1: {{ form.agentAddress }}
Address 2: {{ form.agentAddress2 }}
Suburb: {{ form.agentSuburb }}

State: {{ form.agentState }}
Postcode: {{ form.agentPostcode }}
Country: {{ form.agentCountry }}

Confirmation

On behalf of all the persons named above, I have read, understood and accepted the Terms & Conditions.