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Y Y Country of Issue Expiry Date D D / M M / Y Y Y Y Job Title Company Address City/State Postcode Country Telephone* Fax* *(Please include country and area code) HOTEL ROOM RESERVATION Choice of Hotel: (Please specify name of hotel. Reservation is for approved ARC 2010 hotels only) Single or Twin-Sharing (Please Specify) Rate Per Room Per Night (Please specify Rate) Check-In Date Check-Out Date For Twin-Sharing room, please provide full name of room-mate: (as per passport).
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