Traveller Registration Form

Notes to consider before you start:

Accuracy is required for various official documents and travel preparations

All information will be treated as confidential

Uploads Pre-warning: Passport Copy & Head & Shoulders Photo

* Denotes Compulsory Fields

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 11 April 2025 and has 3 blank pages to stamp.

Do you require a transfer from home to the airport?*

Yes please
No thanks, I'm sorted

Do you require a Local Flight to Johannesburg?*

Yes
No, I'm departing from JNB

Accommodation Room Type*

Leisure - Day 3*

Leisure - Day 5*

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*

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.

Bank Account Details
Required for your Travel Allowance

Bank Account Holder Name*

Bank Account Number*

Bank Account Type*

Bank Name*

Branch Name*

Branch Code*

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?*

Indemnity*

By clicking submit, you agree to the Participant Indemnity.

View Indemnity

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