Documentation & Traveller Statements

Thank you for your payment for this reservation.
Consent*
Please do not remove the receipt from our system and the PayPal you received in your email (if you can't see on Inbox, you can check in the spam folder).

According to our operational procedures, here are some points and data that need to be followed up related to this tour program. Please fill in the points below correctly.
Yes, I'm understand

Tour Details
You can view the requested items in booking details that we send to your email (booking@ntt-dmc.com)
Tour name & code*
Ex. 2 Days Komodo Island Liveonboard Tour – ST03
See on your booking details
Booking Code*
Check on Client Information in your booking details
PayPal Transaction ID*
Ex.Transaction ID: 9PM43127PJ333270B
See on your PayPal receipt
Tour Departure*
Date Format: DD slash MM slash YYYY
Where we can pick you?*
Your Hotel*
Your Hotel Address*
Already booked a flight?*
Flight Arrival Date*
Date Format: DD slash MM slash YYYY
Flight Arrival Time*

: HH

MM

Traveler Details
Please help us give the full name of all guests following photo of their passport in attachment. We guarantee your personal data is confidential and secure.

We need this information for your insurance registration during our tour program with us. All our customers are covered by insurance authority who have teamed up with PT. Flores Komodo Tours.
Number of Traveler*
The number of travelers must match with the booking you have made. Please check your booking details on the receipt we have sent to your email.
Traveler Documents*
Full Name Passport Number Nationality Foot Size

Please help us give the full name of all guests following number of passport. We guarantee your personal data is confidential and secure.

You can add new traveler with click "+" icon on the right side this sections. NOTE: The number of travelers must match with the booking you have made. Please check your booking details on the receipt we have sent to your email.
Upload all Traveler KITAS / Passport*
Drop files here or

Accepted file types: jpg, png, pdf, gif.
You can made multiple upload or drag-and-drop on this sections. Please upload the passport scan of all traveler are registered on your tour.

Please give the file name with name of person in passport photo scan

File Format: jpg, png, pdf, gif. Maximum allowed file size 1MB/file.
Food alergian
Please kindly inform us if there are any special allergies for this type of food or some foods that can not be consumed before departure so we can prepare everything before the trip.

You can add new traveler with click "+" icon on the right side this sections.
Note

Contact Details
Please fill all informations bellow correctly.
Traveller Group Representatives*
First Last
Email*
Enter Email Confirm Email
Mobile Number*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Emergency Contact
Please inform to us your family/emergency contact number just in case we need to contact your family.
Name
First Last
Relation*
Phone Number*
Mobile Number*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Health Affidavit Statement
Please fill in and sign this health statement for activities during your tour program with PT. Flores Komodo Tours.
Name*
First Last
Date of Birth*
Date Format: DD slash MM slash YYYY
*
I am not having or once got severe disease within the last one month , including : Heart Disease , Hypertension / High Blood , Malaria , Dengue Fever , Diabetes mellitus , AIDS , Lever , kidney and other serious diseases that are not listed in the this statement letter.
I agree to the Statement.
*
I am willing to stop the tour with PT. Flores Komodo Tours if physically and mentally I’vebeen declared not eligible by the Tour Guide or representative of PT. Flores Komodo Tours.
I agree to the Statement.
*
I will not sue PT. Flores Komodo Tours if things happen that are not desirable during the tour , including whether light or heavy injuries that endanger the safety of me because of my physical strength is not healthy , but I forced myself to follow the tour predetermined
I agree to the Statement.
*
I'm just going to take a trip / tour during my able-bodied and really fit to perform strenuous activities such as trekking,snorkeling,diving and other activities during the tour with PT. Flores Komodo Tours
I agree to the Statement.
*
During the Tour withPT. Flores Komodo Tours I will Complying andfollow procedures and rules alreadydetermined by Tour Leader / Tour Guide from PT. Flores Komodo Tours
I agree to the Statement.
Agreement*
I am as guest of PT. Flores Komodo Tours that will take a tour on the island of Flores and Komodo National Park, hereby declare that I am ready to follow the procedures and regulations prescribed by PT. Flores Komodo Tours during the Tour with PT. Flores Komodo Tours in time period in a healthy condition both physically and spiritually and fulfill all the criteria below for heavy activities such as trekking, snorkeling and diving and other activities oftour during the sightseeing trips in the tourist areas specified in the itinerary, here are the key points to consider. If any of them are not eligible to participate in the tour then I am willing not to do any heavy activities during the tour and abide by all applicable regulations.
I agree to the Health Affidavit Statement.
We hope this letter of Statement is made to be used as appropriate .if later things happen are not desirable , but is not set in the letter of this statement then I agree that the solving of these problems can be done amicably through consultation and consensus. But then if it cannot be done that way, also it can be reached by the laws of the Republic of Indonesia.
Your Signature*
By signing this statement you agree to the above statement.

If you ignore the above statement, all risks become the responsibility of each and you may not be able to sue PT. Flores Komodo Tours for acts of infringement on the points you have agreed.
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Documentation & Traveller Statements

Complement Reservation

Tour Details

Traveler Details

Contact Details

Emergency Contact

Health Affidavit Statement

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+62 813 9235 3568

info@ntt-dmc.com

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SETTING

Full Name	Passport Number	Nationality	Foot Size

Note