D'ma Pavilion Hotel
Reservation Form

Personal Information
Important!! Please furnish full name
Title Name:
First Name:
Family Name:
Important!! Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
* ( Correspondence E-mail address)
E-mail Address : ( Second e-mail address,if any )

Telephone No :

Fax No:
Passport No :

Company Name :

(if applicable)
Correspondence Address :
Country :
Nationality : *
Reservation Details
Types of Package Required :
Type of Room Required : Types of bed:
Number of rooms required :
Number of Adult(s) required :
Number of Children ( if any ) : Age of Children :
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guests for the additional rooms
Indicate here for any special request ( bed types preferred, connecting room, etc.)
Date of check in : Date of check out:
Flight Information
Flight name and no. (Arrival) :
Time of Arrival :
Flight name and no.(Departure) :
Time of Departure :
Special Promotion at D'ma Pavilion Hotel