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GROUP LEADER NAME
CONTACT NUMBER
GROUP LEADER EMAIL
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0920
1210
DEPARTURE DATE
DEPARTURE TIME
OTHER DEPARTURE TIME
# Return Time to Singapore can be decided upon arrival in Batam
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NUMBER OF PEOPLE
For repeat customers with same passport details from previous trip, please select the “Yes” option
REPEAT CUSTOMER?
NO
YES
NO.
PACKAGE SELECTION
NAME (as in Passport)
SEX
DOB
PASSPORT NO.
EXPIRY DATE
NATIONALITY
LUNCH CHOICE
1
Day Package
Spectator Package
M
F
--- Select ---
Singapore
Algeria
Argentina
Australia
Austria
Bahrain
Belgium
Brazil
Brunei
Bulgaria
Cambodia
Canada
Chile
China
Cyprus
Czech Republic
Denmark
Egypt
Estonia
Fiji
Finland
France
Germany
Greece
Hong Kong (SAR)
Hungary
Iceland
India
Indonesia
Iran
Ireland
Italy
Japan
Kuwait
Laos
Latvia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau (SAR)
Malaysia
Maldives
Malta
Mexico
Monaco
Mongolia
Morocco
Myanmar
Netherlands
New Zealand
Norway
Oman
Panama
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Saudi Arabia
Slovakia
Slovenia
South Africa
South Korea
Spain
Suriname
Sweden
Switzerland
Taiwan
Thailand
Tunisia
UAE
United Kingdom
United States
Vietnam
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8
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