Client Information Form

Client Information

Name and Surname

Name Surname

Gender

Passport/ID Number

Please write the names exactly as they appears in their passports for all additional travellers. Click the "+" to add more travellers.

Travellers List(Required)

First Name

Last Name

Passport/ID Number

Gender

Nationality

Contact number while travelling

Please provide us with any diet requirements / Medical conditions that we need to be made aware of.

Diet Requirements

Medical Conditions

Please confirm tour package you are booking.

Tour Package Name(s)

Date of Departure

Date of Return

Room Configuration

Collection Address in Johannesburg.

Free collection applies for all of our safari packages from the Johannesburg OR Tambo Airport between 06:30am - 09:00am depending on the safari package.
Additional charges may apply for collection from other addresses / hotels / guest houses in Johannesburg, please do consult with our staff to confirm any additional fees.

Full collection address

Alternative Collection Address (Additional charges will apply)

Yes

Alternative Collection Address (Please note this needs to be pre-arranged and Additional charges will apply)

Emergency Contact Number (not agent) and Name of Next of Kin (not traveling with you in Southern Africa):

Next of Kin Name

Next of Kin Relation

Next of Kin Contact Number

Next of Kin Email

Terms and Conditions

http://krugerpark.travel/terms-conditions

I hereby confirm that I have read and understood the terms and conditions from Kruger Park Travel.(Required)

Yes

Phone

This field is for validation purposes and should be left unchanged.

Client Information Form