Air Peace Passenger Travel Acknowledgement Form

Passengers traveling from Lagos to Antigua & Barbuda and/or Barbados must confirm a valid passport, visa (if required), accommodation, onward/return ticket, sufficient funds, Yellow Fever card, and declared embarkation and final destination.

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Email *
Phone number *

Last name/Surname (As shown on passport)
*
First Name (As shown on passport) *
Other Names (As shown on passport)
Air Peace Booking Reference (PNR) *
Date of Birth *
MM
/
DD
/
YYYY
Nationality *
Country Of Residence *

Gender
*

Intended Departure Date
*
MM
/
DD
/
YYYY

Intended Return Date
MM
/
DD
/
YYYY
Passport Number *

Passport Expiry Date
*
MM
/
DD
/
YYYY
Passport Issued Date *
MM
/
DD
/
YYYY
Country of Passport Issuance *


Visa Number (If applicable)
Visa Expiry Date
MM
/
DD
/
YYYY

Emergency Contact Name
*
Emergency Contact Phone number *
Which destination are you traveling to? *
Do you have a valid Yellow Fever vaccination certificate? *

Proof of Accomodation with Address? 
*
Do you have any proof of sufficient funds for the duration of your stay (financial independence)? *
If you are connecting from Lagos, please declare the first state or country of embarkation (e.g., Abuja or Accra).

Please confirm your final destination if you have an onward connection from Antigua or Barbados; please provide the name of the country
Please provide the airline name and flight number of your onward destination
Please provide the flight date and time for your onward destination
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