Please complete this travel form and return to: Stephanie.ribuot@publicislive.

com

Attendee: Guest:

Title: Title: Directeur de la Bibliothèque Royale

Firstname: Firstname: Ahmed Chouqui
Surname: Surname: Binebine
Contact number:
Mail address:

I. TRAVELLING TO PETRA:

Please indicate below the preferred flight requirements for you and your guest:

NAME: Departure Expected Expected ARRIVAL Expected Expected SPECIFIC

Location: DATE OF TIME OF Location: DATE OF TIME OF REQUIREMENTS
DEPARTURE: DEPARTURE: ARRIVAL: ARRIVAL: / FLIGHT
NUMBER
(IF KNOWN)

II. DEPARTING PETRA:

Please indicate below the preferred flight requirements for you and your guest:

NAME: Departure Expected Expected ARRIVAL Expected Expected SPECIFIC

Location: DATE OF TIME OF Location: DATE OF TIME OF REQUIREMENTS
DEPARTURE: DEPARTURE: ARRIVAL: ARRIVAL: / FLIGHT
NUMBER
(IF KNOWN)
 III. PASSPORT DETAILS / FOR ENTRY VISA:

GENDER: FIRST SURNAME: PASSPORT EXPIRATION DATE OF NATIONALITY:

NAME: NUMBER: DATE: BIRTH:

Male Ahmed Binebine A 007243 25/12/2009 1946 Morrocan

Chouqui

IV. ACCOMMODATIONS:

Hotel accommodations will be made for you and your guest:

Please advise if you have any specific room requirements:

V. DIETARY/FOOD REQUEST

Please advise if you have any specific dietary / food requirements:

VI. PETRA TOUR:

PublicisLive along with The Royal Jordanian Protocol are pleased to help organise your personal travel
accommodations prior to and after the Petra IV Conference.

Please feel free to contact us or provide us with your details below:

Contact:

Travel Coordinator and general information –PublicisLive US:

Doreen Bonnami (+1 212 699 9501). doreen.bonnami@publicislive.com

Logistic Department –PublicisLive Europe:

Stephanie Ribuot stephanie.ribuot@publicislive.com