Participants Information | Kerinci Paradise

Participant Details

Step 1 of 4

Please fill in your personal details exactly as written on your ID/Passport.

Title *

Full Name *

Nationality / Full Address *

ID / Passport Number *

Date of Birth *

Height (Cm) *

Weight (Kg) *

Blood Type *

Allergy / Medical Issue *

Identity Verification

Upload ID / Passport Photo *

Max file size: 1MB. Allowed formats: JPG, PNG, PDF.

Transfer location is mandatory for our operational pickup/drop-off.

Transfer Request (Mandatory)

Pick-up Location (Day 1) *

Drop-off Location (Last Day) *

Flight details are optional. Leave them blank if you arrange your own transport.

Arrival Flight

Date

Airline & Flight No.

Flying From

Landing At

Departure Time

Arrival Time

Departure Flight

Date

Airline & Flight No.

Flying From

Landing At

Departure Time

Arrival Time

Emergency Contact

Contact Name *

Phone Number (WhatsApp) *

Relationship *

Please double-check your data before submitting.

Start fromCheck Prices

Trip Reservation

Title

Full Name *

Email Address *

Travel Date *

Number of Participant *

Citizenship Category *

Accommodation Option *

Extra Services Personal Porter (Carry your personal gears) Photographer (IDR 1.500.000) Videographer (IDR 2.500.000)

Special Requests

Base Trip (1 Participant(s)) IDR 0

IDR 0

Extra Service IDR 0

- Tandem Flight (1 Pax)IDR 0

- Porter (1) x 2 DaysIDR 0

- PhotographerIDR 1.500.000

- VideographerIDR 2.500.000

Est. Total

IDR

USD

EUR

IDR 0

I have read and agree to the Agreement Statement.

Request submitted successfully! We will contact you soon.

HEAD QUARTER

PT KERINCI PARADISE ADVENTURE
RT 06, Siulak Deras Village
Gunung Kerinci District
Kerinci Regency, Jambi Province 37162

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