You are on page 1of 2

 

18TH  TO  28TH  OCT  2018  REGISTRATION  FORM  


PERSONAL  DETAILS  (AS  INDICATED  ON  THE  PASSPORT))  

Surname   PASSPORT  NO   Previous  Passport  


No  (if  any)  
  ………………………..  
……………………….  

Other  names   Date  of  Issue   Date  of  Expiry  

  ……/………/20…   ……/……/20…….  

  Father’s  Name    
(Even  if  deceased)  
Date  of  Birth:  Day……  Month……  Year…………..  
Mother’s  Name    
(Even  if  deceased)  
Place  of  Birth……………………………  

  Sex  (Tick  one)  


P.  O.  BOX……………….CODE…………….   Male…….                                        Female…....  
  ==============================  

City  /  Town……………………..   Marital  status  (Tick  one)  


Married……….      Single………  
Countries  visited  (have  you  visited  other  
countries?  If  yes  indicate  …………………………......   Widow……              Others…………  
……………………………………………………………………   Church  /  Ministry  Affiliation……………  
…………………………………………………………………… …………………………………………………………  
……………………………………………………………………
Have  you  been  to  Israel?  Yes……No…  
Egypt?  Yes………No………  If  Yes,  When?.............  

Mobile……………………………...   TRAVEL  INSURANCE  DETAILS  

Email…………………………………………………………..   Name  of  Next  of  KIN  

NATIONALITY   PROFESSION   ……………………………………………………..  

Relation  of  next  of  Kin  to  you  


Do  you  have  Yellow  Fever  Certificate?  
……………………………………………………..  
Yes………                          No……...  
ID  NO  of  next  of  Kin……………………….  
NOTE:  It  is  MANDATORY  to  get  Yellow  Fever  Certificate  
minimum  3  weeks  before  the  date  of  travel   Mobile  No………………………………………  

  1  
TERMS AND CONDITIONS

1. The cost of the Israel and Egypt Package is KSHS. 200,000 per person in a double room in Economy class

2. Registration fee is Kshs. 2,000 per person non refundable

3. The package INCLUDES: Hotel accommodation, Economy Return Ticket, Airport & ground transfers,
tours in Israel and Egypt, meals on FB at the Hotel (Breakfast, Lunch and dinner), Professional English
Speaking tour guide, Tips to guide and drivers, Israel and Egypt visa, border taxes, entry fees to all sites in
the program & Porterage.

4. The package EXCLUDES: Single room Supplement ($495), Drinks of any kind, Travel Insurance, tips in
restaurants, Pocket money, extra services in hotels like calls, laundry, $10 for a Jordan River baptism
experience, $2 tip for Bedouin guide at Sinai and any other service not above mentioned.

5. Completed and signed registration form and a colored copy of passport for each person (page with
photo & Biodata) and Bank deposit slip of Registration fee and first installment should be brought to
our office by 30th MAY 2018.

6. The passport and Yellow Fever Certificate MUST be valid for a period of 6 months from OCTOBER 2018

PAYMENT PLAN / SCHEDULE


PAYMENT PLAN BANK DETAILS MPESA PAYMENT
DATE AMOUNT KENYA SHILLINGS BANK DETAILS GO TO MPESA
TH
15 MAY 40,000 NAME: HOLYLAND EXCURSIONS TOURS & PAY BILL NO : 372253
10TH JUNE 40,000 TRAVEL
ACCOUNT : YOUR NAME
BANK: COOPERATIVE BANK
10TH JULY 40,000 AMOUNT : ………….
BRANCH: GREENHOUSE
PIN :………..
10 TH
AUG 40,000 A/C NO: 01148 1703 06600
OK
The payment is done to
5TH SEPT 40,000 HOLYLAND EXCURSIONS TOURS
& TRAVEL
TOTAL 200,000
7. Visas will only be applied upon full payment for the tour by 5th September 2018.

8. In the event the tour is cancelled early due to reasons beyond our control, the money paid money will be
transferred to a later trip minus deductions i.e. visas, flight cancellation fees, administration fees, hotel
cancellation fees etc. No refund for any last minute cancelation.

9. Prices could be subject to change due to the fluctuation of the dollar.

10. CANCELATION POLICY: 2 Months to: 20%, 1 Month to: 50%, 3 Weeks to: 100%, No Show: 100%

Full names: _________________________________ID No_______________


Signature______________________________ Date________________
FOR MORE INFORMATION CONTACT:

Francis  Gitau  
HOLYLAND EXCURSIONS TOURS & TRAVEL
KIPRIKO FLAT, 4TH FL, OFFICE 7B, KABARANET RD

Tel: +254 722 785561 / +254 738 842 991

Email: holylandexcursions@gmail.com  

Website:  www.holylandexcursion.com

  2  

You might also like