Registration Form 2 | Winning Solutions

Are you travelling with a partner?

YesNo

Company Branch/Dealer/Branch

Street Address

City

State/Province

ZIP / Postal Code

Country

Your full name as per ID

Preferred name

Gender

MaleFemale

Date of birth

Email Address

WhatsApp contact number

Mobile contact

Office number

Do you have a valid passport?

YesNo

NOTE

Your passport needs to be valid for 6 months from your return date with 3 blank pages.

ID Number

Country of residence

NOTE:

Please upload a copy of your ID Document in place of your Passport Document. Note your ticket will be issued as per the ID/passport copy submitted

Identity document upload

No file chosen

Passport nationality

Passport number

Passport issue date

Passport expiry date

Colour copy of passport upload

No file chosen

Seating preference

AisleMiddleWindowAll efforts will be made with the airline to secure your preference. Guaranteed seats are prepaid and chargeable in advance.

Would you like to upgrade to business class at your own cost (should the routing permit)?

YesNo

Nearest airport

Dietary requirements

Do you have allergies?

YesNo

Do you have a medical aid?

YesNo

Medical aid provider

Medical aid number

Doctor’s name

Doctor’s emergency contact number

Emergency contact person (next of kin)Note that it needs to exclude the person travelling with you on the trip

Emergency contact number (next of kin)

Emergency contact relationship (next of kin)

Travel partner’s full name as per ID

Travel partner’s preferred name

Travel partner’s gender

MaleFemale

Travel partner’s date of birth

Travel partner’s email address

Travel partner’s WhatsApp number

Travel partner’s alternative contact number

Street AddressTravel partner’s physical address

CityTravel partner’s physical address

State/ProvinceTravel partner’s physical address

ZIP / Postal CodeTravel partner’s physical address

Country Travel partner’s physical address

Does your partner have a valid passport?

YesNo

Travel partner’s ID number

Upload travel partner’s ID document copy

No file chosen

Please upload a copy of your ID Document in place of your Passport Document. Note your ticket will be issued as per the ID/passport copy submitted.

Travel partner’s passport nationality

Travel partner’s passport number

Travel partner’s passport issue date

Travel partner’s passport expiry date

Travel partner’s colour copy of passport upload

No file chosen

Note your ticket will be issued as per the ID/passport copy submitted.

Travel partner’s seating preference

AisleMiddleWindow

Travel partner’s nearest airport

Travel partner’s on ground dietary requirements

Travel partner’s in flight dietary requirements

Does your travel partner have allergies

YesNo

Travel partner’s medical aid provider

Travel partner’s medical aid number

Travel partner’s doctor’s name

Travel partner’s doctor’s emergency contact number

Travel partner’s emergency contact person (next of kin)

Travel partner’s emergency contact number (next of kin)

Please upload a fave picture of yourself and partner

No file chosen

Would you like to extend your trip at your own expense?

YesNo

Kindly note that Winning Solutions is only able assist with the return flight not accommodation. Kindly note that if you breakaway your transfer back to the airport is not included and for your own account)

Proposed return date

Please detail your proposed extension

Acceptance of T’s & C’s (I have read and agree to the trip T’s & C’s outlined below)

Yes

T’S & C’s

Kindly note that Winning Solutions operates in accordance to the POPI Act, kindly link here for details.

As part of your trip and participation in the event, we need to collect certain personal information from you. The personal information you provide will be used by Winning Solutions, its affiliates, and their service providers to facilitate your trip and participation in an event.

I Confirm That I Have Read And Agree To The Below Privacy Statement

Yes

Privacy Statement

Please view our Privacy Statement here.

Countdown to the trip of a lifetime

Congratulations on your excellent achievement!

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