SCT Trip Booking Form (Others)
(All information given is strictly confidential. Please fill in ALL details)
1) Trip Name: *
(eg. Singapore, Others)
2) Trip Date: *
(eg. 01Jan to 15Jan)
Your answer
3) Participant Name: *
(as in your passport) / SCT profile name (if any)
Your answer
4) SCT Profile Name:
(pls put NA if you are not a member)
Your answer
5) Passport No. / Nationality / NRIC No. (if Singaporean) :
(ensure passport at least 6 months validity during period of travel)
Your answer
6) Date of Birth: *
(DD/MM/YYYY)
Your answer
7) Contact details (mobile / email) *
Your answer
8) Residential Address: *
Your answer
9) In case of emergencies, please contact: (name / mobile / email) *
Your answer
10) Blood Group: *
(O+, A+ etc)
Your answer
11) Height (in cm) / Drug Allergy (if any) / Special Diet (if any) *
Your answer
12) Single room: *
(note: additional single room supplement applies)
13) OPTION: Insurance coverage required: *
** By choosing NO, you DECLARED that you Already Have a Valid Travel Insurance coverage for the entire duration of this trip.
STATEMENT OF INDEMNITY *
(By completing this form and and checking the boxes below, the participant hereby agrees to the following:
Required
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