African Safari Booking (Lead name (person making booking)

Personal Information

Title *

First Name *

Surname *

Address *

Country *

Email *

Phone *

Number in party (Adults)

Number in party (Children)

Names of all persons travelling (names as they appear on passports)

Title

First Name

Last name

DOB

Nationality

Passport Number

Title - 1

First Name - 1

Last name - 1

DOB - 1

Nationality - 1

Passport Number - 1

Title - 2

First Name - 2

Last name - 2

DOB - 2

Nationality - 2

Passport Number - 2

Title - 3

First Name - 3

Last name - 3

DOB - 3

Nationality - 3

Passport Number - 3

Title - 4

First Name - 4

Last name - 4

DOB - 4

Nationality - 4

Passport Number - 4

Title - 5

First Name - 5

Last name - 5

DOB - 5

Nationality - 5

Passport Number - 5

Title - 6

First Name - 6

Last name - 6

DOB - 6

Nationality - 6

Passport Number - 6

Please provide details of the International flights which you have arranged

Arrival date*

Arrival time

Arrival airport

Arrival flight number

Arrival Airline Name

Departure date *

Departure time

Departure airport

Departure flight number

Departure airline name

Arrival date

Departure date

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Arrival date

Departure date (dd/mm/yyyy)

Hotel / Camp Name

No of rooms

Total charges to be invoiced as confirmed by Trafeka (US $) *

Name of Tours Consultant at Trafeka handling your booking *

Any special dietary or health requirements which we should note

Any other special requirements or comments which we should note

Have you booked a safari with Trafeka before? *

How did you hear about us? *

Insurance Details (Insurance Company, Policy Number, Phone Contact)

Next of kin or home contact in case of emergency (Name / Country / Email or Telephone)

I have read and accept the Booking Conditions including the Cancellation Terms

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Personal Information

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Personal Information

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