First Name :
  Last Name :
  E-mail Address :
  Nationality :
  Address :
  Telephone No. :
  Type of Room to be Booked
  Dollar Delux Rooms   Suit Room
  Non A/C Room   Non A/C Delux Room
  A/C Delux Room      
  No. of rooms to be booked :
  No. of persons :
  Flight details    
  Flight No. :
  Time of Arrival :
  Arrival Date :
  Departure Date :
  Credit Card No. :
  Comments/Notes :
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