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Personal Information
PLEASE COMPLETE IN CAPITAL LETTERS (ENGLISH) 
Please fill in your first, middle and last names as appear in your passport
Please note that fields marked with * are mandatory
First name as appears in your passport
Middle name as appears in your passport
Last name as appears in your passport
Date of Birth DD/MM/YYYY
Email
Mobile
Country of origin ?
Origin city
Best airport/city of departure (Origin)
2nd Best airport/city of departure (Origin)
Request for extension
Desire date for arrival to Cancun
Desired date for departure from Cancun
2ND best date for arrival to Cancun
2ND best date for departure from Cancun
Extension Remarks
Credit Card Details
Credit Card holder name
Credit Card holder ID
Credit Card Number
Valid Date
CVV
CxTravel will let you know if there is any difference in fairs. you will not be charged until you approve the new booking and amount to be charged on your CC.
I, the undersigned, hereby agree, to exclusively bear all costs, arising from or related to my request for leisure extension of my upcoming business trip to Company’s 2023 SKO event, including, without limitation, airfare change fees plus fare difference, accommodation, F&B, transportation, taxes and any additional cost or expense incurred during the extended period (“Additional Expenses”).
Such Additional Expenses shall be paid by me directly to all service providers (travel agent, airline, hotel, etc.) upon request, by providing my personal CC or by other payment method, all as required by the service providers.
If any Additional Expense, was borne by the Company, for any reason whatsoever, I shall, upon request, reimburse the Company for such Additional Expense, or grant the Company consent to deduct the amount from my salary or from any payment due to me from the Company.  
I hereby acknowledge that Additional Expenses shall not be reimbursed by the Company, and therefore will not be included in any expense report submitted to the Company.
I have read carefully, and I confirm the above
COVID-19
Last vaccination date?
Photocopy of vaccination certificate
Passport
Country of passport
Number of passport
Issue Date
Expiration date
Passport copy
VISA
USA Visa Number
Type of US Visa
Issue Date of US Visa
Expiration Date of US Visa
Photocopy of entry visa to the USA
Please note it is your responsibility to make sure that you have the necessary visas (for destination / transit) in accordance with your passport for this trip.
Frequent Flyer Programs
FF Name of Airline 1
FF # Airline 1
FF Name of Airline 2
FF # Airline 2
FF Name of Airline 3
FF # Airline 3
Personal Preferences
If yes, please specify
Remarks