Discovery Tours & Travel Booking Form

Application For :

Paya Beach Resort
Berjaya Tioman Beach Resort
Sibu Island
The Taaras Beach & Spa Resortt
D'Coconut Island Resort
Rawa Safaris Island Resort

Full Name :

(required)

Sex :

Male Female

Correspondence Address :

Contact Numbers :

Email Address :

(required)

Passenger Manifest :
(*based on departure date)

No.	Full Name	Age*	Sex	Nationality	Date Of Birth	Country Of Birth	Passport No.	Date Of Expiry	Ticket No. (for official use only)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Reservation Details :

Number of :

Departure Date :

From :

- -

To :

- -

Room Type :

Remarks :

Mode of Transport :

Free delivery of travel & hotel vouchers required
(within Singapore during office hours)

Yes No

NOTES : All Rates in Singapore Dollars