Traveller Profile Form - CTM - Freuds

Title*

Name as per Passport*

First Name

Last Name

Your Company*

Team / Department*

PA / AA email address*

PA / AA Contact Number*

Home Address

Please only provide a home address if you may require transfers, car hire, passport or visa deliery to or from here

Mobile Phone*

Work Phone

Email*

Confirm Email *

of the profile holder

Passport details are only required for travellers requiring air travel bookings. Passport details can also be advised to our consultants at the time of booking.

Passport Number

Passport Expiry

Date of Birth

Nationality

Passport Issuing Country

Second Passport Details

if applicable

Meal Request

(only avaliable on selected services)

Flight Seating Preference

Hotel Preference

Frequent Traveller Membership Scheme

i.e. BA Executive Club, IHG Rewards etc

Membership Number

Frequent Traveller Membership Scheme 2

Membership Number 2

Frequent Traveller Membership Scheme 3

Membership Number 3

Frequent Traveller Membership Scheme 4

Membership Number 4

Frequent Traveller Membership Scheme 5

Membership Number 5

Other Loyalty Scheme Membership Details

Confirmation Email

If you are submitting a profile on behalf of someone other than yourself and would like an email to confirm this form has been submitted please input your address above

Terms & Conditions*

By ticking this box I confirm that I have read and understood the important information below. By completing and returning this form to ctm I consent to my personal information being stored securely in our electronic system, if I am not the traveller I have the consent from the traveller for this information to be sent to and stored by Gray Dawes Travel. The information contained within each profile is then transmitted to each travel provider utilised by you for your travel journeys booked by your company through Gray Dawes Travel. Passport information may be requested by the airline so that they may transmit it to the flight destination country prior to travel. It is therefore essential that you notify Gray Dawes Travel in writing of any changes to the information provided on this form. We will not be held responsible for any delay or resulting cost as a result of the information on this form being out of date or inaccurate.

Profile storage*

By ticking this box I confirm I understand that this information is stored by Gray Dawes Travel until I advise otherwise in writing. In the event of this profile not being utilised for travel in one year, then the profile will be automatically deleted.

Authorisation*

By ticking this box I am confirming that I am the traveller or authorised by the traveller to provide this information to Gray Dawes Travel. The email confirmation from this profile will serve to provide notification of receipt and storage of this information.

Freuds Secure Traveller Profile Form