Bali Trip Registration

Register New Passenger

Firm Name *

Location *

1. Personal Details (As Per Passport)

First Name *

Middle Name

Last Name *

Gender *

Age

Date of Birth

Anniversary Date

Contact Number *

Address

2. Identification Details

Aadhar Card Number

Passport Number *

Passport Valid Upto

3. Flight Details

Airline Name

PNR Number

Flight Going Date with Time

Flight Return Date with Time

Additional Route Info (Route & Layover)

4. Emergency & Medical Details

Blood Group

Medical Condition (If Any)

Emergency Contact Name *

Emergency Contact Number *

5. Upload Attachments (Max 5MB per file. Allowed: .pdf, .jpeg, .jpg)

1. Passport Size Photo (White Background) *

2. Aadhar Card (FRONT) *

3. Aadhar Card (BACK) *

4. Passport Photo (FRONT) *

5. Passport Photo (BACK) *

6. Other Attachments (Optional)

View & Edit Passenger Data

S No	Firm Name / Location	Passenger Name	Contact Number	Gender / Age / Blood Group / Anniversary Date	Passport Number / Passport Valid Upto	Emergency Contact (Name & No.)	Medical Conditions	PNR	Actions

Passenger Details - Summary

S No	Firm Name / Location	Passenger Name	Contact Number	Gender / Age / Blood Group / Anniversary Date	Passport Number / Passport Valid Upto	Emergency Contact (Name & No.)	Medical Conditions	PNR

Confirm Deletion

Print Passenger Form(s)

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