International Youth Leadership Africa, Cape Town 2007

Submitting Your Travel Plans

Also Note that all fields marked with a * are required.

SECTION 1:

PERSONAL CONTACT INFORMATION

Given Name:

Family Name:

Primary Email Address:

Secondary Email Address:

Telephone Number:

Fax Number:

SECTION 2:

DIETARY & HEALTH INFORMATION

Dietary Requirements:

* Other:

Serious Allergies:

Health Conditions:

SECTION 3:

PASSPORT INFORMATION

Issued by:

Passport Number:

Expiration Date:

SECTION 4:

TRAVEL PLANS: ARRIVAL

Date of Arrival:

NOTE: If you will be arriving in CapeTown
before the dates available in the
drop-down menu to the right, please
include any relevant details in the
"comments" box at the bottom
of this form.

Time of Arrival:

Method of Arrival:

Other:

If Arriving by Air:

Airline:
Flight Number:
City Departing From:
Would you like to be met at the airport:	Yes No

If Arriving by Train:

Name of Station You'll be Arriving at:
Train Number:
City Departing From:
Would you like to be met at the train station:	Yes No

If Arriving by Bus:

Name of Station You'll be Arriving at:
Bus Number:
City Departing From:
Would you like to be met at the bus station:	Yes No

SECTION 5:

TRAVEL PLANS: DEPARTURE

Date of Departure:

Time of Departure:

Method of Departure:

Other:

If Departing by Air:

Airline:
Flight Number:

Special Requirements,
Comments or Questions:

xsd