Registration Form

Afro Lankan Tour 2018 participation form

Contacts:

Ray Pereira
Ph: +61 403 198 223 (Aus)
+94 771 439 161 (Sri Lanka)
Email: bongopereira@iprimus.com.au

Kanchana Karunaratna
Ph: +61 432 557 188 (Aus)
+94 770 810 660 (Sri Lanka)
Email: info@afrolankandrumming.com

Venue:
Juce Hotel
509 Galle Road
Ambalangoda, Sri Lanka

Participant Details:

Name *

First

Last

Phone Number *

Email *

Next of Kin name and phone number: *

Passport Number *

Passport Place of Issue *

Passport Expiry Date *

Have you obtained travel and medical insurance? *

Yes

Insurer: *

Policy Number *

Validity Period *

Participants must obtain a visitor Visa to Sri Lanka online through http://www.eta.gov.lk/slvisa/.

Have you obtained a visitor Visa to Sri Lanka? *

Yes

ETA Visa Number: *

Date and time of arrival in Sri Lanka: *

Arrival Airline and Flight Number: *

Date and time of departure from Sri Lanka: *

Departure Airline and Flight Number: *

The Afro Lankan Tour is conducted by Anthony (Ray) Pereira and Kanchana Karunaratna. The Afro-Lanka Tour commences on 1 April 2018 and concludes on 14 April 2018. It is mandatory that all persons obtain, and provide proof of, their own travel and medical insurance.

The Afro- Lanka Tour will take all precautions to ensure the safety of the participants. However, participants in the Afro-Lanka Tour hereby assume all risk and release Afro-Lanka Tour from any claims or causes of action arising from any damages, loss, injuries or death as a result of participating in the tour. Afro- Lanka Tour is not responsible for any cancellation costs, incidental expenses or consequential losses as a result of a ‘Force Majeur’, unusual or unforeseen circumstances which results in the cancellation of the tour. Furthermore, there will be no discounts or monies refunded for missed or unused services, including the voluntary or involuntary termination/departure from tour.

By completing and submitting this form you are acknowledging and agreeing to the terms and conditions as stipulated within this form.

Submit