Custom Umrah Booking Form

Online Form

The fields marked * are required

Travel Options

Departure Date

Return Date

Room Occupancy*

Personal Information

Title*

Forename(s)*

Surname*

Address*

Postcode*

Email*

Sex (Male/Female)*

Name of Mahrem (Female applicants only)

Relationship to Mahrem (Female applicants only)

Telephone Number*

Mobile

Work

Date of Birth*

Place of Birth*

Occupation*

Present Nationality*

Previous Nationality

Mother's Name*

Sect (Sunni/Shia/etc)*

Passport

Passport No*

Issuing Authority*

Date of Issue*

Expiry Date*

History

Have you performed Umrah before?*

if Yes, what date was it (month/year)?

Medical Information

Please state any medical conditions that you or any of your party may suffer from:

Are you and all the members of your party are able to walk for long period of time unassisted?*

If assistance is required, please state the name of the companion who will be assisting you

Do you or any members of your party require a wheelchair?*

Emergency Contact

Full Name*

Address *

Postcode*

Relationship*

Telephone Number*

Mobile

Work

General

How did you hear about us?*

Deposit Payment

Number of People Travelling*

Deposit Payment Status*

Deposit Amount*

Payment Type*

The deposit amount is non-refundable and is calculated at the agreed amount per person travelling. (The remaining balance must be paid at least one calendar month before the departure date). A 2% surcharge will be added for all credit card payments

Declaration

Click to Read & Download (PDF) Our Terms and Conditions

By submitting this form, I confirm that the information given in it is true to the best of my knowledge. I have read, understood and agree to abide by the Afta Tours Booking Terms & Conditions. By paying the deposit/full amount, I enter a binding agreement with Afta Tours Ltd based on those Booking Terms & Conditions. I accept that the full payment must be paid to Afta Tours at least one calendar month before the due date of departure. I also accept that cancellation fees may apply and that the full amount is still payable if a cancellation is made with less than one calendar month remaining before the departure date. (Full details of charges and fees are included in the terms & conditions)

Tick to confirm that you agree to our Terms and Conditions*

We have rendered the shrine (the Kaba) a focal point for the people, and a safe sanctuary. You may use Abraham's shrine as a prayer house. We commissioned Abraham and Ismail: "You shall purify My house for those who visit, those who live there, and those who bow and prostrate.

[Quran 2:125]

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