Booking

Purna Yoga & Treks Pvt. Ltd.

Sedi Mathi, Lakeside, Pokhara, Nepal
Web: www.nepalyogatrek.com
Email: info@nepalyogatrek.com
Phone: 061 696606
Mobile: +977 9841568880 / 9851158384

Please use the form below for Booking:

Your booking becomes fully confirmed once we receive your filled out booking form as well as your booking deposit of 200 USD per person. Available payment methods are outlined here.

Trip Details

Trek Name*

Trek Start Date*

Personal Details

Title*

Full Name*

Date of Birth*

Sex*

Home Address*

Country*

Nationality*

Passport Number*

Expiry Date*

Telephone No. (Residence)*

Mobile*

Email Address*

Re-Enter Email*

Passport Size Photo (Max Image Size : 4MB)

Insurance Details

Travel Insurance Policy No.

Hot Line No.

Covers

Emergency Contact / Telephone No.*

Contact Person*

Relation*

International Flight Details

Arrival Date to Nepal

Time

Flight No.

Departure Date from Nepal

Time

Flight No.

Other Details

Your Stay in Kathmandu, Name & Detail

Health Problem (if any)*

Food Allergies (if any)*

What is Your Level of Yoga Experience

Special Request

* All fields marked with this sign are mandatory