Khuthaza & Sales Annual Recognition Trip 2024

WINNER / HOST

Name*

Prefix*

Call Name*

Email Work*

Confirm Email Work*

Email Home*

Home Address*

Cellular Number*

Identification Number*

Marital Status*

Married
Single

Date of Birth*

Gender*

Male
Female

I have a valid passport*

A valid passport expires 13 May 2025 and has 3 blank pages to stamp.

For re entry into South Africa from Brazil, a Yellow Fever Vaccination Certificate is compulsory.

I have a valid Yellow Fever Vaccination Certificate*

Yes
No, I need to get vaccinated

Do you require a Local Flight to Johannesburg?*

Yes
No, I'm departing from JNB

Travellers from Cape Town and Durban will fly to Johannesburg on Sunday, 3 November 2024 and overnight at an OR Tambo Airport Hotel. This is due to flight connection times.

Accommodation Room Type*

Dietary Requirements*

Dietary requirements will be accommodated where possible.

Medical Conditions, Allergies or Disabilities*

This could include other i.e. Fear of heights, Claustrophobia, etc.

Emergency contact details must be a person, other than the person you are travelling with.

Emergency Contact Name*

Emergency Contact Cellular Number*

To enable us to obtain Forex (Travel Allowance) in your Name, we require the below documents to be uploaded.

Copy of South African ID*

Browse

Utility Bill showing your residential address (not older than 3 months)*

Browse

Head & Shoulders Photo (JPG or PNG Format)*

Browse

If you don't have a professional head shot at the ready: Stand against a white wall / background. Ask someone to take a photo of you with your cellular, incl. chest, shoulders, space above head. Not too close.

Are you celebrating a special occasion during the trip?

Our preferred method of communication just prior to and during the trip will be WhatsApp.

I consent to add my number to the WhatsApp Group*

Will you be bringing an accompanying person on the trip?*

ACCOMPANYING PERSON

Event Registration Software by RegFox