Al-Aqsa Tour Booking Form

Select the tour dates that you wish to book

Lead Passenger

Title

Name

Please ensure your name appears exactly as it does on your passport.

Address

Email

Mobile No.

Home No.

Work No.

For phone numbers, please ensure there are no spaces included.

Date of birth

Nationality:

Passport Scan

A good quality image or scan of the photo page of your passport.

Single Rooms

Select no. of single rooms required

Double Rooms

Select no. of double rooms required

Triple Rooms

Select no. of triple rooms required

Number of Additional Passengers (not including the lead passenger)

Passengers 2

Name

Please ensure your name appears exactly as it does on your passport.

Date of Birth

Nationality

Passport Scan

A good quality image or scan of the photo page of your passport.

Passengers 3

Name

Please ensure your name appears exactly as it does on your passport.

Date of Birth

Nationality

Passport Scan

A good quality image or scan of the photo page of your passport.

Passengers 4

Name

Please ensure your name appears exactly as it does on your passport.

Date of Birth

Nationality

Passport Scan

A good quality image or scan of the photo page of your passport.

Passengers 5

Name

Please ensure your name appears exactly as it does on your passport.

Date of Birth

Nationality

Photograph

Passport style photograph. Can be taken on your phone - plain light coloured background.

Flight Details - Arrival into Tel-Aviv

Arrival Date

Arrival Time

Flight No.

Flight Details - Departure from Tel-Aviv

Departure Date

Departure Time

Flight No.

EMERGENCY CONTACT

Please give details for someone who is NOT travelling with you who may be contacted in case of an emergency.

Name

Relationship

Address

Mobile No.

Home No.

Work No.

DECLARATION

I confirm that the information given on this form is true to the best of my knowledge. I have read and agree to abide by the booking terms and conditions of Al-Hidaayah Travel Ltd.

Confirm