| Personal Details |
|
Country |
* |
|
Title |
|
|
Family name |
* |
|
First name |
* |
|
Gender |
Male Female |
|
Nationality |
* |
|
Address |
* |
| Organization |
* |
| Designation |
|
|
Telephone (country code- city code-
number) |
-
- * |
|
Mobile (country code- city code- number)
|
-
- |
| Fax (country code-
city code- number) |
-
- |
|
Email |
* |
|
Flight
Details ( Arrival in Delhi) |
| Arrival Date |
- - |
|
Flight Number |
|
| Arrival Time |
|
| Departure Date |
- - |
|
Flight Number |
|
| Departure Time |
|
| Arrival in
Jaipur |
| Mode of Transport |
|
| Mode of Conveyance |
|
| Accomodation
Booking Details |
| Choice 1 |
|
| Choice 2 |
|
| Choice 3 |
|
| Choice 4 |
|
| Choice 5 |
|
| Choice 6 |
|
|
Accommodation type |
Single Double |
| Check-in date (Month - Day -
year) |
- - |
| Check-out date (Month - Day -
year) |
- - |
|
Number of nights |
|
| Pre / Post
tour booking section |
|
Name of tour |
Agra
Jaipur
Delhi
Click here for details |
|
Booking Payment Details
|
|
Mode of payment |
|
|
DD / Banker's Cheque Number |
|
|
Bank's name and branch |
|
|
Amount (Currency - Amount)
|
|
 |
Download Credit Card Authorization Form
(.doc - MS Word)
OR
Download Credit Card Authorization Form
(.pdf - Acrobat) |
|
|
Note:
- All Demand Drafts / Banker's Cheques
must be drawn in favor of "
- Please allow 3 weeks for outstation
(out of Jaipur) Cheques.
- Bank Transfer details:
|
|
Undertaking |
- I certify that the information
provided herein this form is complete and accurate to
the best of my knowledge
- I understand that all bookings are
subject to confirmation from
- I have read and understood the
cancellation terms and conditions.
- I agree to pay the booking
deposit, with this form and balance payment as
desired, by
Cancellation Policy
|
|
|
