Explore passager information and confirmation
Please fill out this form to confirm your Explore booking.
Important links:
Explore Essential Information
/
Explore Booking Conditions
/
Udenrigsrigsministeriets rejsevejledning
/
Udenrigsministeriets Danskerliste
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angiver et påkrævet felt
Name:
Email:
Comment:
Turkode / Trip Code:
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Tour Name:
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Departure date:
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Full Name (as in Passport):
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Date of birth:
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Gender
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Male
Female
E-mail Address:
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Nationality:
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Passport Issuing Authority:
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Passport number:
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Passport Issue Date:
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Passport Expire Date:
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Dietary Requirements?
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Yes
No
If YES - please provide further information:
Do you have any medical conditions or allergies?
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Yes
No
If YES - please provide further information:
Name of contact person in case of emergency:
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Relation to you - (Mother/Brother/Friend...):
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E-mail (contact person):
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Phone Number (contact person):
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Name of Insurance company you are covered by:
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Policy number:
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Emergency Phone Number (insurance company):
*
I confirm that I have read and understood:
Explore Trip notes
Explore Booking Conditions
Explore Essential Information
I confirm to be fit and able to fully participate:
Yes
I'm fully insured as required (Booking Condition):
Yes