AUSTRALIA

The Smart Choice

Traveller Profile

Please complete this form as accurately as possible. Information contained in this form is held in the strictest of
confidence by Campus Travel. Information is not available to any third party without consent from the traveller.

Personal Details
Company name: Employee ID:
Title: Secretary/travel booker:
Surname (as per passport): Given names (as per passport):
Gender M/F: Preferred name:
Office address:
Business division (if applicable):
Office tel: Office fax:
Mobile tel: Home tel:
Email:
Home address:

Passport and Visa Details (for International Travellers):

Full name in passport: Passport number:
Nationality: Passport issue date:
Country of issue of passport: Passport expiry date:
Date of birth:
Visa in passport: Visa issue and expiry date:
Visa type:
Visa number of entries: eg. single, double or multiple entry visa
More than 1 passport or visa?:

Airline Seating and Meal Preferences

Seating preference: Special meal requirements:
Additional requirements:

Accommodation / Car Preferences

Special requirements:
Internet/broadband: Smoking/non-smoking:
Car size: Satellite navigation:

Memberships Airline/Hotel/Car
Name on card Type Tier Number Expiry

Return your travel request via fax: +61 08 7200 2050

or email adelaide@campustravel.com.au

campustravel.com.au By providing the information above, I agree to my personal information being handled in accordance with the Campus Travel Privacy Prolicy available at campustravel.
com.au/privacy. Australian OpCo Pty Ltd (ABN 20 003 279 534) trading as Campus Travel. ATAS Accreditation No: A10412. Licence number WA 9TA1362. CTCT62143