PIF - Formstack

Please complete this personal information form to submit guest names, passport information, travel insurance, emergency contacts and other useful details. This form allows submission for up to two people. Please submit additional forms for additional guests. Please submit separate forms if travel insurance details or emergency contacts differ between guests on the same booking. Please check all your entries as these details are submitted to airlines and other suppliers, who may charge fees to correct errors. Passport names and details, in particular, must be correct. If you require any help, please telephone 01892 785785 or email info@furlongs.co.uk.

Person completing this form

Your name*

Email*

Telephone number*

This form relates to which holiday?

Your holiday booking reference or the holiday name please*

Personal Information for 1st guest

Title

First name(s) exactly as per passport*

Surname exactly as per passport*

Date of birth (DD/MM/YY)*

Passport number*

Passport valid from date (DD/MM/YY)*

Passport expiry date (DD/MM/YY)*

Passport issuing authority (HMPO, UKPA or IPS for UK passport holders)*

Nationality as indicated on your passport*

Any pre-existing medical conditions?

Please enter any special requests not yet shown on your holiday booking confirmation

Please note, special requests cannot be guaranteed, but we will try our best

Personal Information for 2nd guest

If there is no second guest, please skip to the next section.

Title

First name(s) exactly as per passport

Surname exactly as per passport

Date of birth (DD/MM/YY)

Passport number

Passport valid from date (DD/MM/YY)

Passport expiry date (DD/MM/YY)

Passport issuing authority (HMPO, UKPA or IPS for UK passport holders)

Nationality as indicated on your passport

Any pre-existing medical conditions?

Please enter any special requests not yet shown on your holiday booking confirmation

Please note, special requests cannot be guaranteed, but we will try our best

Travel insurance details

Your travel insurance company name

Please enter the name of the insurance scheme, not the specific underwriters

Your travel insurance certificate number

Your travel insurance 24-hour emergency telephone number

Emergency contact details

Family or friend contact name

In case of emergency while on tour, we must notify someone not travelling with you

Family or friend contact telephone number?

Family or friend relationship to you?

Your mobile number

Your mobile telephone number please

Guest list

How would you like your name(s) to appear on the final guest list?

Thank you for completing this form, please submit by clicking the button below.

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