Pre-Trip Form
Total Persons: 1
Add Person
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I/We have put all correct information and details.
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I/We Agree with the
Terms & Booking Conditions
as provided by Nepal Sanctuary Treks.
Person 1 Details
Personal Information
Insurance Detail
Fitness Information
Flight Information
Emergency Contact
Additional Information
Personal Information
First Name
*
Middle Name (Optional)
Last Name
*
Gender
*
Gender
Male
Female
Others
Nationality
*
DOB
Email
*
Phone 1
*
Phone 2 (Optional)
Passport Number
*
Passport Issue Date
Passport Expiry Date
Address 1
*
Address 2 (Optional)
Insurance Details
Insurance Company Name
Insurance Company Email
Insurance Company Phone
Policy Number
Fitness Information
Fitness Level
Basic
Midlevel
Expert
Recent Outdoor Experience
Achieved High Altitude
Training Before Departure
Flight Information
Flight Detail
Flight Number
Arrival Date
Arrival Time
Departure Date
Departure Time
Emergency Contact
Emergency Contact Name
Relationship
Emergency Contact Phone
Emergency Contact Email
Emergency Contact Address
Additional Information
Single Room Supplement Required?
Single Tent Supplement Required?
Allergies
Medical Condition
Dietary Requirements
To give you the best experience we kindly ask to inform us of your specific dietary requirements.
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