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e-Travel Request  New booking  Change booking  Cancellation  Availability 
In case of modification or cancellation, please provide the booking reference (PNR):
To (e-mail address
travel agent)
My name/e-mail /
Company/department  / 
Project nr/order  / 
Phone nr/fax nr  / 
Confirmation  via e-mail     via fax
Approval (e-mail) send approval request via e-mail  
         
  Last name and first name as mentioned in your passport.    
1st traveller / title
 Last name Middle name First name Date of birth Employee nr Cost centre
Booked before?
 Creditcard/hotelguarantee
(last 4 digits + expirydate)		 Passportnr | Nationality Frequent flyer nr
yes     no 

2nd traveller / title
Last name
Middle name
First name
Date of birth
Employee nr
Cost centre
Booked before?
 Creditcard/hotelguarantee
(last 4 digits + expirydate)		 Passportnr | Nationality Frequent flyer nr
yes     no 

3rd traveller / title
Last name
Middle name
First name
Date of birth
Employee nr
Cost centre
Booked before?
 Creditcard/hotelguarantee
(last 4 digits + expirydate)		 Passportnr | Nationality Frequent flyer nr
yes     no 

4th traveller / title
Last name
Middle name
First name
Date of birth
Employee nr
Cost centre
Booked before?
 Creditcard/hotelguarantee
(last 4 digits + expirydate)		 Passportnr | Nationality Frequent flyer nr
yes     no 

5th traveller / title
Last name
Middle name
First name
Date of birth
Employee nr		 Cost centre
Booked before?
 Creditcard/hotelguarantee
(last 4 digits + expirydate)		 Passportnr | Nationality Frequent flyer nr
yes     no 
         
Remarks,
comments

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