Profile form

Please fill in your Personal Traveller Profile below.

We want to give you the best possible service always and ask you to fill in your personal traveller profile because the information helps us to assist you with your trips. The information you submit is necessary to provide you with our travel services and is required for travel bookings to be made outside of online booking tools.
The Traveller Profile is the basis for your future offline travel booking agency bookings.
Fields marked with * are mandatory and must be filled in before submitting your profile.

Details of how American Express Global Business Travel (GBT) we may collect, use, share and otherwise process your personal information, as an employee of one of our corporate clients or other individual to whom we offer our services can be found in our privacy statement at. http://privacy.amexgbt.com

If you are a travel arranger or assistant for the traveler whose information is provided in this profile, please make sure to share GBT's privacy statement with the traveler.

REGISTRATION DATE:

COMPANY & PERSONAL INFORMATION

Company Name^*:

Customer Number (10 digit numeric):

Country of Employment^*:

First Name^* (as in passport or other ID used for travel):

Middle Name (as in passport or other ID used for travel):

Last Name^* (as in passport or other ID used for travel):

Date of Birth^* (yyyy/mm/dd):

Gender^*: MaleFemale

Business Address^*:

Business Zip Code^*:

Business City ^*:

Business State :

Business Email ^*:

Business Phone (including country code)

Cell/Mobile Phone (including country code)

Address [Home]:

Zip Code [Home]:

City [Home]:

Telephone [Home] (including country code):

Emergency Contact Name:

Emergency Contact Phone Number (including country code):

PASSPORT DETAILS

Do you have a Passport?^* YesNo

PASSPORT DETAILS (first)

Passport Number (first):

Passport Expire Date (first) (yyyy/mm/dd):

Country of Issue (first):

Do you want to add second Passport details?^* YesNo

PASSPORT DETAILS (second)

Passport Number (second):

Passport Expire Date (second) (yyyy/mm/dd):

Country of Issue (second):

INVOICE REFERENCES

Cost Center:

Employee number:

Division/Department:

Other company specific reference 1:

Other company specific reference 2:

Other company specific reference 3:

Other company specific reference 4:

Other company specific reference 5:

AIRLINE PREFERENCES

Seating preference: Aisle
Window
Front
Back
Other

Special meal requirements: Vegan
Vegetarian
Kosher
Halal
Diabetic
Other

Are you an Airline Club member?^* YesNo

Airline Club:

Membership number:

Airline Club:

Membership number:

Airline Club:

Membership number:

Airline Club:

Membership number:

Airline Club:

Membership number:

ACCOMODATION PREFERENCE

Room preference: Near ground level
Upper level
Other

Bed preference: King
2 double beds
Other

Smoking preference: Non-Smoking
Smoking

Are you a Hotel Club member?^* YesNo

Hotel Club:

Membership number:

Hotel Club:

Membership number:

Hotel Club:

Membership number:

Hotel Club:

Membership number:

Hotel Club:

Membership number:

CAR RENTAL PREFERENCE

Car type: Small size / Compact
Middle size / Standard
Full size
Premium / Luxury car
SUV / Van
Other

Transmission type: Manual
Automatic

Are you a Car Club member?^* YesNo

Car Club:

Membership number:

Car Club:

Membership number:

Car Club:

Membership number:

RAIL PREFERENCE

Class of travel: Standard
First Class
Other

Seating Preference: Aisle
Window
Other

Are you a Rail Club member?^* YesNo

Rail Club:

Membership number:

Rail Club:

Membership number:

Rail Club:

Membership number: