IACE TRAVEL APPLICATION FORM

Please fill out and return to IACE TRAVEL bythe payment due date to secure yourreservation

IMPORTANT THINGS about APPLICATION FORM
Please submit this form to IACE Travel on/before the payment due date.
Also, please fill this form carefully, specially your name. Your name on the reservation list should exactly match with that on
your passport. You may have to pay severe penalty for changing names.

Today's Date

Passenger 1LAST

do not forget even JR or III. You may have topurchase the new ticket with the matched name.
Again, the name must exactly match !!

Nationality / Citizenshipfor ACTIVE DUTY…do you have leave paper ?
for FAMILY Member, DOD, Civilian…do you have exit/re-entry permit to JAPAN ?
Passenger 2
LASTNationality / Citizenshipfor ACTIVE DUTY…do you have leave paper ?
for FAMILY Member, DOD, Civilian…do you have exit/re-entry permit to JAPAN ?
Passenger 3

Nationality / Citizenshipfor ACTIVE DUTY…do you have leave paper ?
for FAMILY Member, DOD, Civilian…do you have exit/re-entry permit to JAPAN ?
Passenger 4

Passport number (ID number only
for active duty not using passport)

Passport Expiration(ie 08NOV14)□YES □will get one by departure□not needed (not resident of Japan)
Gender(M or F)

Date of Birth(ie 15MAR83)

Passport number (ID number onlyfor active duty not using passport)

Passport Expiration(ie 08NOV14)□YES □will get one by departure□not needed (not resident of Japan)
Gender(M or F)

Date of Birth(ie 15MAR83)

Passport number (ID number onlyfor active duty not using passport)

Passport Expiration(ie 08NOV14)

Name (MUST be EXACTLY THE SAME as the one on PASSPORT)FIRSTMIDDLE (now required)

do not forget even JR or III. You may have topurchase the new ticket with the matched name.
Again, the name must exactly match !!

LAST

Date of Birth(ie 15MAR83)

Name (MUST be EXACTLY THE SAME as the one on PASSPORT)FIRSTMIDDLE (now required)

do not forget even JR or III. You may have topurchase the new ticket with the matched name.
Again, the name must exactly match !!

LASTGender(M or F)

Name (MUST be EXACTLY THE SAME as the one on PASSPORT)FIRSTMIDDLE (now required)□YES □will get one by departure□not needed (not resident of Japan)
Gender(M or F)

Date of Birth(ie 15MAR83)

Passport number (ID number onlyfor active duty not using passport)

Passport Expiration(ie 08NOV14)

Name (MUST be EXACTLY THE SAME as the one on PASSPORT)FIRSTMIDDLE (now required)

do not forget even JR or III. You may have topurchase the new ticket with the matched name.
Again, the name must exactly match !!

Nationality / Citizenshipfor ACTIVE DUTY…do you have leave paper ?
for FAMILY Member, DOD, Civilian…do you have exit/re-entry permit to JAPAN ?

□YES □will get one by departure□not needed (not resident of Japan)

Applicant
LAST

FIRST

Circle One
USAF

USA

USMC

USN

DOD

PHONE NUMBER (HOME)

PHONE NUMBER (WORK)PHONE NUMBER (CELLULAR, if any)

E-MAIL ADDRESSLOCAL PHONE NUMBER at the destination

Emergency Contact Phone Number during your absence

How did you hear about us?
□Home Page
□Stars & Stripes□Okinawa Marine□Other Papers/Magazine□Navy Relief / Airforce Aid□MWR/MCCS/ITT□by Friend, Family, Co-Worker
Are you insured for your trip?
YES□FACEBOOK□Used BeforeNOOTHER