REGISTRATION FORM

Name of Trekking/Tour(Required)

Date of Arrival(Required)

Flight Number(Required)

Surname

First Name

Date of Birth(Required)

Nationality(Required)

Passport No.(Required)

Date of Issue(Required)

Emergency Contact No.(Required)

Emergency Email

Postal Address(Required)

Telephone Number

Email Address

Insurance Company

Insurance Policy Number

Contact No. of Insurance

Health Consideration

T-shirt Size

Date of Departure from Nepal

Flight Number(Required)

Rooming Preferences (except during trekking)

Single

Twin (Two separate beds)

Double (Big Bed)

Triple Room

Please make sure your passport has at least 6 months validity after your trip.

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