Booking Form Please note, You will not be able to complete this booking form without a valid passport. Step 1 of 4 25% Contact DetailsName*Same as on your passport First Middle Names Last Your Email Address* Your Mobile Phone Number*Gender*For rooming purposes Male Female Your Residential Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Emergency Contact Name (next of kin)* First Last Emergency Contact Phone Number*Emergency Contact Email Address* ID and Passport DetailsID Number* Date of Birth* Year Month Day ID Upload*Please upload a copy of your ID document.Accepted file types: jpg, png, jpeg, pdf, doc, docx, Max. file size: 10 MB. Choose file No file chosen Nationality on Passport* Passport Number* Passport Issued On* Year Month Day Passport Expires on* Year Month Day Please upload a copy of your Passport*Accepted file types: png, jpeg, jpg, pdf, Max. file size: 15 MB. Choose file No file chosen Tour DetailsAre you planning a break away? Yes No If you'd like to extend your stay and change your return flights, let us know so we can help you plan and change your flight details.Which Tour are you attending?* Merit Programme - University of La Verne Merit Programme - Pearson College GST - Japan and South Korea GST - SADC GST - New York GST - Spain (Emzingo) GST - Mauritius and South Africa Dietary Requirements*In some cases Halaal and Kosher meals are not readily available so special request might have to be made through our suppliers. No Preference Halaal Kosher Vegetarian - WITH DAIRY Vegetarian - NO DAIRY No red meat No Chicken No Fish or shellfish Airline seat preference* Window Aisle Single or Sharing*I booked a Single roomI booked a sharing roomFull name of your sharing Partner*Please indicate the full name and surname of the person you are sharing with. If you do not have a sharing partner yet, WBS will put you in contact with other students looking to share. If you can not find a sharing partner, WBS may allocate you to share with a student from the partner school or institution. Agree to terms and conditionsTerms and conditions*Click here to read the Terms and Conditions I agree to the Terms and Conditions Signature*
