Booking Form

01 Date

Preferred Departure Date

Guaranteed departures run March–November 2027. Confirm availability before you pay a deposit.

Number of Travellers

02 Tour Selection

Select Your Tour

Destination

Tour Duration

Travel Style

Join Group Private Trip Tailor-Made

03 Traveller Details

Full Name * (Same as name on Passport)

First Name *

Last Name *

Preferred Name *

Date of Birth *

Nationality *

Country of Residence *

Passport Number *

Passport Expiry Date *

Email Address *

WhatsApp / Phone Number *

04 Emergency Contact

Emergency Contact Full Name * Relationship *

Phone / WhatsApp *

Email *

05 Travel & Health

Do you have any medical condition we should know about? *

No Yes — Please provide details

Do you take regular medication? *

No Yes — Please provide details

Do you have any allergies? *

No Yes — Please specify

Swimming Ability *

Cannot Swim Basic Intermediate Good

Fitness Level *

Easy Moderate Active Challenging

Mobility Limitations *

No Yes — Please provide details

06 Dietary Requirements

Dietary Requirements

Please provide additional details

07 Terms & Acknowledgement

Stay on this booking form and tick both boxes before you send the request.

Terms & Conditions I confirm that I have read, understood and agree to Jiwa Explore booking, payment and cancellation policies on this form. Participant Waiver & Liability I confirm that I understand adventure travel and outdoor activities may involve inherent risks.

Thank You for Choosing Jiwa Explore

01 Date

02 Tour Selection

03 Traveller Details

04 Emergency Contact

05 Travel & Health

06 Dietary Requirements

07 Terms & Acknowledgement