(Name(s) only)
(dd/mm/yyyy)
(Applicable to Seychellois nationals and Seychelles residents only)
Which class of service do you usually fly? (Select only 1 option)
Please indicate your seat preference (Select only 1 option)
To which destinations do you travel most frequently? (Select more than 1 option)
How many international trips do you take each year? (Select only 1 option)
Comments/Remarks: