Diveplanit Travel: Client Information Submission Form

Welcome to Diveplanit Travel

This information will help us to process your booking quickly and accurately. If there are multiple people travelling, simply click this link to open a copy of this form in another Tab and enter their specific details into it. If you get stuck call us on the number above during office hours, or email: info@diveplanit.com. Please note our Booking Terms and we have insurance options here.

1. Admin Info
Full name*
As as you want to see on your booking, tickets and invoice
Prefix First Last
Email address*
For correspondence regarding this booking
Phone*
This is the number we’ll call if we need to get hold of you quickly. Mobile is preferred as we can text you too.
Address*
For your invoice only; we don’t post anything

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Preferred payment method*
- Bank transfer without fees
- Card and accept TravelPay's merchant fee
- Ask me for each payment
Emergency / Alternate contact*
Please enter an emergency / alternate contact full name
Alt name contact details*
Phone number (or email address)
2. Diving details
Agency and certification level*
e.g. PADI Advanced Open Water; snorkeler
Number of dives to date*
Nitrox certified?*
- Yes
- No
Equipment hire and sizes
If you normally hire equipment, please let us know the equipment, eg Wetsuit, Regs, Computer and the size if you know it. E.g., BCD=XL; Fins=44-45. Or your weight, height and shoe size (esp. for wetsuit and fins)
Dive Insurance
If you have dive insurance such as a DAN or DiveAssure policy, please enter the policy name, number and validity period.
3. Other information
Insurance*
Essential Information*
Things we really need to know like dietaries restrictions, disabilities, assistance required etc. Mandatory field - if none enter 'none'
Additional information
Please any enter any other useful information or preferences, eg buddies, rooming/bedding configuration, etc
4. Passport details
ONLY If we are booking international flights or a liveaboard do we require your passport details. Please double check these once entered, as changes incur fees once tickets are issued. Alternately, just email us a photo of your details page.
Name as per your passport
If you have one or more middle names, please enter them in the middle name box
First Middle Last
Nationality
Date of Birth (dd/mm/yyyy)
DD slash MM slash YYYY
Passport number
Issuing Country
Passport Expiry Date (dd/mm/yyyy)
DD slash MM slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Diveplanit Travel: Client information submission

1. Admin Info

2. Diving details

3. Other information

4. Passport details