MAGNFICENT EUROPE PASSENGER 1 PERSONAL DETAILS Title Mr Mrs Ms Miss Dr First Name (as per passport) Middle Name (as per passport) Surname (as per passport) Preferred name for name badge Address
Suburb
State
Home Ph
Work Ph
Mob
Fax
P’code
Email 1 Email 2 Traveling with (passenger 2) EMERGENCY CONTACT Name Relationship Home Ph
Mob
Email EMIRATES TRAVEL CLASS (please tick one)
Economy
Mixed class Business TRAVELING FROM
First
Sydney
Adelaide
(please tick one)
Brisbane Perth Frequent Flyer Number:
Melbourne
Other Emirates Skywards Number: