TOUR BOOKING FORM Departure Date:

NO FIRST NAME LAST NAME DATE OF BIRTH GENDER PASSPORT EXPIRED DATE NATIONALITY ROOM LIST ADULT / CNB /
(disi dengan huruf besar) (disi dengan huruf besar & (DD-MM-YYYY) (M/F) (DD-MM-YYYY) (MY/SG) CWB/ INFANT
tanpa bin atau binti)
1 MOHD ALIF AZMAN 12-12-1995 M HA2066653 12-05-2017 MY ROOM 1 ADULT
2 ANIS FARHANA MOHD ALIF 12-05-2004 F HA2066655 12-05-2017 MY ROOM 1 CWB
3
4
5
6
7
8
9
10

Address: Emergency Contact Details (for everyone above) Known Medical Conditions
Peti Surat A-383, 89357 Inanam,Kota kinabalu,Sabah Name: AZMAN (State any non-swimmers here)
Relationship : Father Ms xxx
Address: Peti Surat A-383, 89357 Inanam,Kota
kinabalu,Sabah

Any medical required

Tel. No. (HP): 0198100010 Post/Zip Code: 89357 No
Tel. No. (work): 03-89988789 Tel. No. (home): 088-899889
E-mail: info@muslimtravelbug.com E-mail: contoh@hotmail.com

Declaration Sign & Date:

I have read, understood, and accept the booking conditions provided on the Muslimtravelbug Sdn Bhd or 10 Jun 2018
associated website and attached, on behalf of all members of my party, by whom I am authorized to make this
agreement. I enclose the deposit (as detailed), which is non-refundable in the event of my cancellation. Sign here
REMARKS;
Please attached this booking form with your passport copy for our attention.