Step 1 of 7 - Personal Information

e-TICKET FOR THE DOMINICAN REPUBLIC

Complete the online application form to successfully obtain your e-Ticket.

You can add up to 6 travelers (members of your family or party) to a single application.

PERSONAL INFORMATION:

Name*

First Name Last Name

Date of birth*

Country of birth*

Gender*

Male

Female

E-mail Address*

Enter Email Confirm Email

Country code for phone number (for eg +1, + 61, etc)*

Phone Number*

Home address*

Post code / ZIP*

City*

Home country*

Passport Number*

Passport issuing country*

Civil status*

Occupation*

Air Type of e-Ticket*

ARRIVAL IN THE DOMINICAN REPUBLIC

Accommodation Type*

Name of hotel*

Address*

Province

Municipality*

Section*

Harbor*

Country of final destination

Purpose of travel*

How many days do you plan to stay in the Dominican Republic ?*

Please enter a number from 0 to 100.

Departure airport*

Flight number**

Arrival to the Dominican Republic**

Arrival airport in the Dominican Republic*

Airline company*

Flight confirmation number / PNR

Do you plan to practice one of the following sports activities during your stay in the Dominican Republic?*

Will you make stopovers in other countries in your route to the Dominican Republic?*

Yes

Credit Card*

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

e-Ticket Applications*

Price:

Total

e-TICKET FOR THE DOMINICAN REPUBLIC

PERSONAL INFORMATION:

ARRIVAL IN THE DOMINICAN REPUBLIC

DEPARTURE FROM THE DOMINICAN REPUBLIC

Additional Information

ADDITIONAL VISITOR 1

ADDITIONAL VISITOR 2

ADDITIONAL VISITOR 3

ADDITIONAL VISITOR 4

ADDITIONAL VISITOR 5

ADDITIONAL VISITOR 6

CUSTOMS INFORMATION

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