QR Customer Details

Verification Process

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Passenger Last Name

Please fill all the Mandatory fields marked with * and accept the Acknowlegement to submit.

Summary

Parent Case Reference

Number of Passengers

Passenger Name(s)

Parent Case Reference

Number of Passengers

Passenger Name(s)

Bank Details

Case Reference

Bank Account Number

Beneficiary Name

Beneficiary Bank Name

Bank Address Line 1

Bank Address Line2

Bank Address City

Bank Address State

Customer Address Line 1

Customer Address Line2

Customer Address City

Customer Address State

Beneficiary Contact Number

Beneficiary Email

Add Attachments

Note: Supported files Jpeg, Jpg, PNG, Gif, PDF, Doc, Docx, Xlsx, Xls

1. Discharge Form
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2. Passport Copy
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1. Passport Copy
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I hereby acknowledge that I reviewed all the bank details provided and confirm that they are correct and accurate. I agree to transfer my cash compensation to the nominated bank account as stated in the attached Release and Discharge that I submitted through email.