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First Names
Last Name
Passport #
Date of Birth
Gender
Country
Occupation

Address
Telephone
Cellphone
Fax
Email

Start Date:
End Date:

Accomodation Type:
Accomodation Kind:
Accomodation Level:
Accomodation Food:

Arrival Date:
Arrival Time:
Flight Number:

Course Start Date
Course End Date
Course Start Date
Course		Level

Payment Details

Do you need a Visa Acceptance Letter?

I declare that to the best of my knowledge the above information is true and correct. I have read and understood the school's Terms and Condition and by clicking Send, I agree to comply with them

Do you smoke?
Do you require non-smoking residence?
Do you have any allergies e.g. cat hair
Do you have any medical conditionds e.g. diabetes
Do you need a special deit e.g. vegeterian
Do you have other requests pertaining accommodation(specify)

Shark cage diving
Highest bungee jump in the world
Hiking trails
Cape Peninsula Scenic Tours… and much more
Game Safari