Name of Guest / Group leader
Nationality
Total number in group (Adults / Children)	Adults:	Children:
Period of Stay (Date & Time)	From: To:
Whether pick-up taxi required at Railway station
Station of arrival (Katni / Umaria / Jabalpur)
Date / Train Name & No / Time of arrival	Date: Train Name & Number: Time of Arrival:
Accommodation required (type/number of rooms)	Cottage / Villa / Tent: No of Rooms:
Date / Time  of Check-out from the resort	Date:   Time:
If drop-off taxi required, state destination
Total No of Jungle safaris required
Safari dates / time (morning / afternoon)
Any other information / special order
Contact details	Phone:    Email: