.:AdventureMania:.

ONLINE BOOK EXPEDITION

DECLARATION

I have read and understood the conditions and services of ADVENTURE MANIA and I want to join the programme out of my own will. In case of any accident/illness/natural calamities/political unrest, I will not hold the management responsible. I agree to abide by the rules of the management during the trip.

PERSONAL DETAILS

Name in Full :
Address in Full :

	Age : , Sex : , Phone No. : , Mobile :
Passport Details :	(Photocopy of passport bio data page to be attached with this form)
E-mail address:
Son/Daughter/Wife of:
Next to Kin :
Personal Insurance Policy Details:

PAYMENT MODE

	cheque demand draft cash
Cheque/D.D Numbe r:	of amount
US$/GBP/INR. :	only
Place :
Date :	/ /
Signature of Participant:
Upload Photo :
	You must also send 2 passport photographs with your booking.All applicants over 55 years old must also send a Doctor’s Certificate of fitness to participate.

Downloadable (pdf format) Terms and Conditions and Booking Form

Click here to download