Full Name: _________________________________________________

Address: _______________________________________________________

Nationality: ________________________Passport No: __________________

Date of Birth __________________________________ Gender: ____________

Occupation: _______________Email: ________________________________

Telephone (   ) ____________________________________________

Do you have any medical condition we should be aware of? If so explain:
Do you carry any medical insurance? If so, which company?

Trek/Tour Chosen: ________________________________________________

Policy number: ___________________ Company Tel: (     ) _________________

Emergency contact: ▬

Name: __________________________________________________________

Address: ________________________________________________________

Email: ________________________________Tel (        ) __________________

Relationship: _______________________________________________________

Departure date: _____________________Arrival date: ___________________

Total amount of days on Trek/Tour__________________________________
Term & Conditions
The following Booking Conditions, together with all information relating to you have chosen
holiday package contained on this website or in our relevant brochure, form the basis of your
contract with us. Please read them carefully as they set out our respective rights and
obligations. By asking us to confirm you’re booking, we are entitled to assume that you have
had the opportunity to read these booking conditions and legally agree to abide by them.

Asian Heritage Treks & Expedition can not be held responsible for the

   Injury, accident, illness, death while on the trek /Tour unless negligence is proven against
    the company.

   The loss, theft of damage to valuable or personal goods including camera, luggage etc.

   Alterations in the itinerary due to the illness of party member, weather conditions etc.

   The actions of party members who fail to take the advice of Trek / Tour Leaders.

When you confirm trip, we need photo copy of your passport and 50% down payment of the
total price advance as coverage of flight tickets hotel booking and processing of trip permit.

Cancellation by you: ▬
Should you or other member of your group need to cancel your chosen holiday trip after it
has been confirmed, the group leader must immediately inform us in written form by
recorded delivery post or fax. Your notice of cancellation will only be effective when we
receive it in written form. If we receive your notice of cancellation within 8 weeks prior to
arrival, we will be retaining the full amount of your deposit which includes the advance
payment during the time of agreement. If you canceled trip before 24 hrs payment will not be

I understand all of the terms and conditions written above.

Signature: __________________                                   Date: __________________

                 Asian Heritage Treks & Expedition (P.) Ltd.
                         Tridevimarg, Thamel, Kathmandu, Nepal
                                   G.P.O. Box No. 7666
                         Tel: 977-1- 4268638, Fax 977-1- 4215178

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