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 :
Home
Office
Hp/Pager
Fax
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 :
Adult :
Child (below 12yrs) :
Infant (2yrs) :
Departure Date :
From :
- -
To :
- -
Room Type :
Single :
Double :
Triple :
Quad :
Remarks :
Mode of Transport :

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

   Yes   No
 
NOTES : All Rates in Singapore Dollars


    

 
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