Name(As on Passport)
 Surname
 Sex Male  Female
 Nationality
 Address
 Phone Number
 Email address
 Have you ever been to  India/Kerala? Yes.   No.
 Should we arrange the Visa and air ticket?    Yes   No
 Declaration : I hereby declare that I comply with the rules and  regulations of the tour  company and I will pay the full amount  of the  tour on  the  day I arrive  at the  hotel  and that the  details furnished  above are true and correct to the best of my  knowledge.
   
    
         
 
 
 
   
 
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