Booking Form Booking Form Some or all of this information may be required to facilitate flight, hotel or car rental bookings. It is also required for travel insurance policies. Main Traveller Spouse/Partner (applicable only if travelling) Child (applicable only if travelling) Name/s (as per passport / ID) Surname (as per passport / ID) Date of Birth RSA ID Number Email Cellphone Number Telephone Number Home Address Company Name & Address (if applicable for invoicing purposes) PASSPORT INFORMATION This is information is required for immigration and passport control and is provided to airlines in a secure, encrypted format as part of the booking process for flights. This is not required if you are not travelling internationally. Nationality (of passport) Passport Number Date Of Issue Date Of Expiry Valid Visas (& visa expiry dates) GENERAL INFORMATION This information is optional and is required only if you would like Denim Travel to arrange services for which this information may be necessary. If you choose not to provide this information no such arrangements will be made on your behalf. Seating Preferences (eg window / aisle / front / back) Special Meals (eg vegetarian / kosher / Halaal) Medical Requirements (eg wheelchair / diabetic) Frequent Flier Numbers Any other information you think we need to know about to ensure a perfect trip Name & number of someone we should contact in case of emergency PERSONAL INFROMATION I would like this information to be securely stored and to be reviewed on an annual basis* I would like this information deleted within 7 days of the completion of my trip TRAVEL INSURANCE I wish to purchase travel insurance* I do NOT wish to purchase travel insurance MARKETING I wish to receive marketing emails / messages from Denim Travel* I do NOT wish to receive marketing emails / messages from Denim Travel TRAVEL NEWS & UPDATES I would like to receive travel news / updates from Denim Travel* I would NOT like to receive travel news / updates from Denim Travel *Should a selection not be made, this default option will be applied to your profile. DISCLAIMER Visas & Inoculations I am aware that I am responsible for obtaining any visas and/or inoculations that may be required for my trip/s. Terms & Conditions I confirm that I am aware of and accept the terms and conditions as set out in https://denimtravel.co.za/terms-conditions/ Personal Information I am aware that all information provided on this form will be securely stored. Information relevant to my reservation will be shared with airlines, hotels, tour operators or car rental companies in a responsible manner and will not be used for any other purpose. I hereby consent to the use of my personal information for the purpose of facilitating my travel arrangements and understand that information will be shared, only as appropriate and required, with service providers. Consent I hereby consent to the use of my personal information for the purpose of facilitating my travel arrangements and understand that information will be shared, only as appropriate and required, with service providers. Authorization I am duly authorized to sign on behalf of all passengers associated with this reservation. Name Today's Date Supporting documents such as passport, ID document etc., if required, can be uploaded here. Up to 5 .jpeg, .png, and/or .pdf files can be uploaded. Should you need to send more information, this can be done via email or WhatsApp. Send