Adventures in Thailand, Laos & Angkor Wat Extension

Similar documents
Private Journey to Myanmar

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Myanmar January 25 February 7, 2014

Indochina: Vietnam, Cambodia & Laos

Vietnam, Cambodia & Thailand

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Intriguing Indochina

Treasures of the Mekong January 14 February 1, 2012 With Hanoi Extension

Romance of the Mekong River October 2-17, 2018

Treasures of the Mekong March 1 19, 2012 With Hanoi Extension

Along the Mekong from Thailand to Laos Extension to Hanoi & Ha Long Bay

Along the Mekong from Thailand to Laos Extension to Hanoi & Ha Long Bay

Myanmar March 15 30, 2017

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Myanmar March 15 30, 2017

Botswana s Wild Kingdom

Treasures of Southern Africa

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Treasures of Southern Africa October 27 November 10, 2013

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

South African Style with Rovos Rail

1625 K Street NW Suite 750 Washington DC Tel:

Journey to South Africa & Victoria Falls

Grandeur of Zimbabwe & South Africa

Treasures of Southeast Asia January 26 February 10, 2014 TAUCK XIS

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Chimps & Gorillas Of Uganda

1625 K Street NW Suite 750 Washington DC Tel:

Visions of Vietnam Extension

Ancient Paths. 925 Fifteenth Street NW 3 rd Floor Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

On Safari in Kenya &Tanzania

Great Southern Safari GS GSS ZAMBIA 2013

Hill Tribes of China & Vietnam

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Uganda: Pearl of Africa

1625 K Street NW Suite 750 Washington DC Tel:

Enticing Sri Lanka $ $197.00

Israel Extension to Jordan

1625 K Street NW Suite 750 Washington DC Tel:

Turkey: Constantinople & More

Crystal Symphony Indochine Discovery Voyage # 5203B Ho Chi Minh City to Hong Kong February 5-11, 2015

Hill Tribes of China & Vietnam

Tanzania & Zanzibar Adventure

1625 K Street NW Suite 750 Washington DC Tel:

China & Yangtze River October 14-28, 2015

Crystal Serenity World Cruise Voyages # Los Angeles to London January 18 April 18, 2014

Princeton East China & Japan Cruise

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Silver Discoverer Voyage # 9701 Dar Es Salaam to Port Louis January 3 16, 2017

Grandeur of China & Tibet

Authentic China: Shanghai, Hong Kong & Macau

St. Petersburg August 16, 2015

Crystal Serenity World Cruise Voyages # Los Angeles to London January 18 April 18, 2014

Ethiopia: Cradle of Mankind

Silver Explorer Voyage # 7308 Accra to Dakar April 11-23, 2013

Extension to St. Petersburg August 28 31, 2016

Silver Cloud Voyage # 1606 Cape Town to Accra March 3-16, 2016

Jewels of Vietnam & Cambodia March 28 April 12, 2017

Calcutta & Darjeeling

Silver Shadow Voyage #3606 Hong Kong to Hong Kong March 8-22, 2016

Discover Moscow & St. Petersburg

Silver Whisper Voyage #4504 Benoa to Hong Kong February 12-23, 2015

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Crystal Serenity Voyages # 7305 Buenos Aires to Rio de Janeiro March 3-14, 2017

Expedition to Antarctica: Optional Post Tour to Iguazu Falls

Silver Muse Voyage # 6804H Fortaleza to Bridgetown February 23 March 8, 2018

1625 K Street NW Suite 750 Washington DC Tel:

Silver Shadow Voyage #3832 Tokyo to Hong Kong October 29 November 13, 2018

Silver Spirit Voyage # 5926 Stockholm to London August 28 September 8, 2019

Silver Shadow Voyage # 3228 Tokyo to Beijing September 23 October 4, 2012

Crystal Symphony Far East Overtures Voyage # 7205 Singapore to Hong Kong March 7-20, 2017

1625 K Street NW Suite 750 Washington DC Tel:

Expedition to Antarctica: Optional Post Tour to Iguazu Falls

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

1625 K Street NW Suite 750 Washington DC Tel:

Grandeur of India & Nepal

Enlightened India. 925 Fifteenth Street NW 3 rd Floor Washington DC Tel:

Southern India & Sri Lanka

Crystal Symphony Baltic Reflections- A Crystal Getaway Voyage # 4218B St. Petersburg to London August 12-17, 2014

MSC Orchestra Voyage # OR15 Kiel to Kiel May 16 23, 2015

1625 K Street NW Suite 750 Washington DC Tel:

Russian Glories, Baltic Treasures August 27 September 11, 2014 TAUCK RGBT

Silver Whisper Voyage # 4530 Bridgetown to Bridgetown November 20 December 7, 2015

Essence of South America TAUCK ES 2014

St. Petersburg August 4-12, 2013

Transcription:

1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 Email: TOUR@TravelDocs.com Visa requirements shown below are for U.S. citizens ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements for your itinerary. Adventures in Thailand, Laos & Angkor Wat Extension Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Cambodia 1 1 Laos 1 1 Myanmar 4 3 $289.00 $549.00 60 days prior $130.00 to your departure If you prefer to obtain your visas for Cambodia and Laos on arrival deduct $260.00 from the fees shown above. Visas for Myanmar MUST be obtained prior to departure. Visas are not required for short tourist stays in Thailand. Due to short validity of the Lao visa please note that your passport may not be returned until approximately 30 days prior to your departure. Given persistent delays with processing your visa for Myanmar may not be obtainable if documents are received after the deadline. Please use the enclosed sample information verbatim and substitute your personal information. Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) from our offices via FedEx within the continental U.S. (Please add $29.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service. Please enclose your actual passport along with five (5) photographs, one (1) completed visa application form each for Cambodia and Laos, two (2) completed visa application forms, one (1) completed Work History form and one (1) completed Report of Arrival form for Myanmar. (Residents of NY, CT and NJ must complete application form A. Residents of all other states must complete application form B. Please refer to your specific application sample when completing your documents.) Please also enclose two (2) clear photocopies of the vital information page of your passport, a copy of your flight itinerary showing entry and exit for Myanmar and your internal travel itinerary obtained from General Tours. Photographs should be passport-type with a clear background approximately 2 x 2 in dimension. (Note that machine or home digital photographs are not acceptable and must be different than those in your current passport.) Your passport must be valid for a minimum of six (6) months beyond the completion of your travel and must have at least six (6) blank unused pages available not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of or to add pages to your U.S. passport, as this can easily be done at the same time you apply for your visa. Applications must be received in our offices no fewer than 60 days prior to your departure from your shipping address. Documents received after the deadline will be subject to the per person late fee shown above. (Please do not submit your documents more than 90 days before your departure due to the validity of your visas.) Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted. Please note that consular fees, shipping fees and application requirements quoted are subject to change without notice. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC 20006 Your actual passport (Please keep a photocopy for your records.) This completed form Two (2) clear photocopies of the vital information page of passport One (1) completed visa application form per person for Cambodia One (1) completed visa application form per person for Laos Two (2) completed visa application forms per person for Myanmar (form A or B) One (1) completed Work History form per person for Myanmar One (1) completed Report of Arrival form per person for Myanmar One (1) copy of your flight itinerary showing entry and exit for Myanmar One (1) copy of your internal travel itinerary obtained from General Tours Five (5) passport-type photographs per person Credit or debit card authorization below PLEASE TYPE OR PRINT CLEARLY Full Name: Full Name: Passport #: Exp: / Passport #: Exp: / Mo Yr Mo Yr Home Home Tel: Mailing Work Tel: Address: (FedEx cannot deliver to PO boxes) Email: Date of Departure from Home: / / Month Day Year Address Tour Name: Thailand, Laos & Angkor Wat For Return Date of Tour Departure: / / Month Day Year Of Date of Entry to Laos: Passport: Special Instructions: Tel: Please indicate below if there are known periods prior to your tour during which you will need your passport for another international trip or when you will not be available to sign for the return of your passport. I will need my passport(s) for other international travel from / / to / / Month Day Year Month Day Year I will not be at my home and/or return shipping address from / / to / / Month Day Year Month Day Year CREDIT CARD AUTHORIZATION: AMEX / VISA / MC (please circle one) Cardholder Name: Signature: Card #: CID# Expires: / Amount: US$ Mo Yr GT CAMB/LAOS 2014(LAOS55/CAMBX65/MYANMAR25)70 394/759 FX29 (APP FEE)10 6PGS VAL 6MOS DL 60DAYS 130.00 3.5% TE LAOS 60 DAYS (SEE ENTRY ABOVE) TE CAMBODIA 90 DAYS 2014 Pinnacle Travel Document Systems

IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least six (6) blank unused pages available in your passport for visas and entry/exit stamps, not including those at the back of your passport reserved for amendments and endorsements to the passport. In addition, your passport must be valid for six (6) months beyond the completion of your travel. If you are a U.S. citizen, and need to renew or add pages to your passport Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for these services (including U.S. government expediting fees) are $222.00 for passport pages and $250.00 for passport renewals. You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site: Passport Pages Passport Renewals First Time Passports Second Passports WWW.Traveldocs.com/PTDSPassports You may also contact us via email at TOUR@TravelDocs.com or by phone at 888-838-4867 and we will send you an instruction kit.

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... JOHNATHAN BONHAM DOE PHOTO 2. Father s Name in Full... JOHANN SEBASTIAN DOE 3. Nationality... USA 4. Sex... MALE 5. Date of Birth... 13 MARCH 1961 6. Place of Birth... USA 7. Occupation... ENGINEER 8. Personal description (a) Colour of Hair... BROWN (b) Height... 5 FT. 11 INCHES (c) Colour of eyes... BROWN (d) Complexion... CAUCASION 9. Passport (a) Number... 9876543210 (b) Date of Issue... 12 JANUARY 2010 (c) Place of Issue... USA (d) Issuing Authority... DEPT OF STATE (e) Date of Expiry... 11 JANUARY 2020 1234 MAIN STREET ANYWHERE USA 98765 10. Permanent Address... CHATRIUM HOTEL ROYAL LAKE YANGON MYANMAR 11. Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM DESTINATION ASIA 13. Name and address of guarantor during stay in Myanmar... ROOM 1 2ND FL. PEARL CONDO BUILDING A KABA AYE PAGODA ROAD YANGON MYANMAR... 14. Financial resources in Myanmar... PRE PAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 987-654-3210 16. Daytime phone no....... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York PLEASE DATE AND SIGN YOUR APPLICATIONS 2

FORM B JOHNATHAN BONHAM DOE JOHANN SEBASTIAN DOE 13 03 1961 LOS ANGELES CALIFORNIA USA ENGINEER JOANNA BACH DOE BROWN 5 11 BROWN CAUCASION 9876543210 12 01 2010 11 01 2020 1234 MAIN STREET ANYWHERE USA 98765 987 654-3210 987 654-1234 JDOE@ANYWHERE.COM CHATRIUM HOTEL ROYAL LAKE YANGON, MYANMAR IF YES PLEASE CONTACT PTDS X PRE PAID TOUR P Y I PYI P Y I PYI

JOHNATHAN BONHAM DOE DOE JOHNATHAN BONHAM 13 03 1950 LOS ANGELES, CALIFORNIA 1234 MAIN STREET ANYWHERE, CALIFORNIA 98765 987 654-3210 987-654-1234 JDOE@ANYWHERE.COM ENGINEER 12 04 2000 01 01 2014 ENGINEERING ENGINEERING ENGINEERING DESCRIBE DUTIES AS SPACE ALLOWS OPERATIONS MANAGER 11 04 1995 12 04 2000 OPERATIONS OPERATIONS OPERATIONS DESCRIBE DUTIES AS SPACE ALLOWS PLEASE SIGN AND DATE YOUR APPLICATIONS

GOVERNMENT OF THE UNION OF MYANMAR Immigration Department REPORT OF ARRIVAL JOHNATHAN BONHAM DOE Name... is directed to deliver this report to the immigration Authorities on arrival in Myanmar. 9876543210 Passport No.... US DEPT. OF STATE 12 JANUARY 2010 Place and Date of Issue... Visa No. and Date.... Authority, if any... CHATRIUM HOTEL ROYAL LAKE YANGON, MYANMAR Full address in Myanmar... Name and Address of Reference... or Guarantor in Myanmar... DESTINATION ASIA... ROOM 1 2ND FLOOR PEARL CONDO BUILDING A KABA AYE PAGODA ROAD YANGON PHOTO... Signature of Passport Holder Visa Issuing Officer Date of Issue... Date of Departure from USA Date of Arrival in Myanmar PER YOUR ITINERARY PER YOUR ITINERARY Date of Expiry of Stay in Myanmar PER YOUR ITINERARY 1 GENERAL TOURS

ROYAL EMBASSY OF CAMBODIA IN : Washington D.C. Surname: First name: DOE Sex: Male Female KINGDOM OF CAMBODIA Nation Religion King ~ ~ VISA APPLICATION FORM Please submit 1 copy with 1 photo and your passport Present occupation: Engineer Date of birth: Day....Month Year... 03 MARCH 1961 Place of birth: Los Angeles CA USA Birth nationality: USA Present nationality: USA Passport of traveling document is valid for (country) ALL COUNTRIES Date of entry to Cambodia: Day..Month Year. PER YOUR 2014 Date of departure (length of stay) PER YOUR ITINERARY Point of entry: SIEM REAP Means of Transportation: Address during the visit: RAFFLES HOTEL, SIEM REAP Passport No: Place of issue: Date of issue: Date of Expiration: Jonathan Bonham Children under 12 years traveling with you Air RAFFLES HOTEL, SIEM REAP 0123456789 US Department of State 09 MAY 1999 10 MAY 2015 NONE Surname Place of residence: 1234 Main Street Anywhere CA 98765 Fax: /Phone: 987-654-3210 No Fax Work Place: Purpose of visit Tourist Business Point of exit: SIEM REAP Means of Transportation: Organization, Persons to be visited : First trip to Cambodia Traveling on group tour First name Sex Patronymic M F Diplomatic Official Others (Please Specify) Yes No Yes No PLEASE STAPLE ONE (1) PHOTO HERE ABC International, Inc. AIR DESTINATION ASIA Date of birth Photograph 4 x 6 Permanent Address Relatives in the Kingdom of Cambodia NONE For official use éf pþl;... Tidæakarelx elxsmkal; RbePT éf Ex qñam htßelxam nþittylbnþúkkic karkugs ul I hereby declare that the information on this form is true and correct Place, (Date)... (Signature of the applicant) PLEASE DO NOT FORGET TO DATE AND SIGN YOUR VISA APPLICATION GENERAL TOURS

PLEASE STAPLE 1 PHOTO HERE Jonathan DOE 13 MAR 1961 Los Angeles CA USA USA Engineer 0123456789 National Passport Center 10 MAY 2005 09 MAY 2015 1234 Main Street Anywhere CA 98765 987-654-3210 HUAY XAI TOURISM PER YOUR ITIN FOR US PASSPORT HOLDERS AIR PER YOUR ITIN DESTINATION ASIA 856 71 260 881 HOUSE NO. 04 UNIT 1 BAN KHILI LUANG PRABANG LAOS SIEM REAP, CAMBODIA PLEASE DO NOT FORGET TO DATE AND SIGN YOUR VISA APPLICATION GENERAL TOURS

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... PHOTO 2. Father s Name in Full... 3. Nationality... 4. Sex... 5. Date of Birth... 6. Place of Birth... 7. Occupation... 8. Personal description (a) Colour of Hair... (b) Height... (c) Colour of eyes... (d) Complexion... 9. Passport (a) Number... (b) Date of Issue... (c) Place of Issue... (d) Issuing Authority... (e) Date of Expiry... 10. Permanent Address... CHATRIUM HOTEL ROYAL LAKE YANGON MYANMAR 11. Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM 13. DESTINATION ASIA Name and address of guarantor during stay in Myanmar... ROOM 1 2ND FL. PEARL CONDO BUILDING A KABA AYE PAGODA ROAD YANGON MYANMAR... 14. Financial resources in Myanmar... PREPAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 16. Daytime phone no....... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York 2

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... PHOTO 2. Father s Name in Full... 3. Nationality... 4. Sex... 5. Date of Birth... 6. Place of Birth... 7. Occupation... 8. Personal description (a) Colour of Hair... (b) Height... (c) Colour of eyes... (d) Complexion... 9. Passport (a) Number... (b) Date of Issue... (c) Place of Issue... (d) Issuing Authority... (e) Date of Expiry... 10. Permanent Address... 11. CHATRIUM HOTEL ROYAL LAKE YANGON MYANMAR Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM 13. Name and address of guarantor during stay in Myanmar... DESTINATION ASIA ROOM 1 2ND FL. PEARL CONDO BUILDING A KABA AYE PAGODA ROAD YANGON MYANMAR... 14. Financial resources in Myanmar... PRE PAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 17. Daytime phone no....... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York 3

FORM B CHATRIUM HOTEL ROYAL LAKE YANGON, MYANMAR X PREPAID TOUR GENERAL TOURS

FORM B CHATRIUM HOTEL ROYAL LAKE YANGON, MYANMAR X PREPAID TOUR GENERAL TOURS

GENERAL TOURS

GOVERNMENT OF THE UNION OF MYANMAR Immigration Department REPORT OF ARRIVAL Name... is directed to deliver this report to the immigration Authorities on arrival in Myanmar. Passport No.... Place and Date of Issue... Visa No. and Date.... Authority, if any... CHATRIUM HOTEL ROYAL LAKE YANGON, MYANMAR Full address in Myanmar... Name and Address of Reference... or Guarantor in Myanmar... DESTINATION ASIA... ROOM 1 2ND FLOOR PEARL CONDO BUILDING A KABA AYE PAGODA ROAD YANGON PHOTO... Signature of Passport Holder Visa Issuing Officer Date of Issue... Date of Departure from USA Date of Arrival in Myanmar Date of Expiry of Stay in Myanmar 1 GENERAL TOURS

KINGDOM OF CAMBODIA Nation Religion King ~ ~ VISA APPLICATION FORM Photograph 4 x 6 ROYAL EMBASSY OF CAMBODIA IN : Washington D.C. Please submit 1 copy with 1 photo and your passport Surname: Present occupation: First name: Sex: Male Female Date of birth: Day....Month Year... Place of birth: Birth nationality: Present nationality: Passport of traveling document is valid for (country) ALL COUNTRIES Date of entry to Cambodia: Day..Month Year. 2014 Date of departure (length of stay) Place of residence: Fax: /Phone: Work Place: Purpose of visit Tourist Business Diplomatic Official Others (Please Specify) Point of entry: Siem Reap Means of Transportation: Address during the visit: RAFFLES GRAND HOTEL D'ANGKOR Passport No: Place of issue: Date of issue: Date of Expiration: Children under 12 years traveling with you AIR RAFFLES GRAND HOTEL D'ANGKOR Surname Point of exit: SIEM REAP Means of Transportation: Organization, Persons to be visited : First trip to Cambodia Traveling on group tour First name Sex Patronymic M F AIR DESTINATION ASIA Yes No Yes No Date of birth Permanent Address Relatives in the Kingdom of Cambodia For official use éf pþl;... Tidæakarelx elxsmkal; RbePT éf Ex qñam htßelxam nþittylbnþúkkic karkugs ul I hereby declare that the information on this form is true and correct Place, (Date)... (Signature of the applicant) GENERAL TOURS

TOURISM HUAY XAI DESTINATION ASIA 856 71 260 881 HOUSE NO 04 UNIT 1 BAN KHILI LUANG PRABANG LAOS SIEM REAP, CAMBODIA GENERAL TOURS