LEMBAGA PEMEGANG AMANAH TAMAN-TAMAN SABAH

(THE BOARD OF TRUSTEES OF SABAH PARKS)

MOUNTAIN CLIMBING RESERVATION FORM
LOT 45 & 46, TINGKAT 1-5, BLOCK SIGNATURE OFFICE, KK TIMES SQUARE,
COASTAL HIGHWAY, 88100 KOTA KINABALU, SABAH, MALAYSIA.
P. O. Box 10626, 88806 KOTA KINBALU, SABAH, MALAYSIA
TEL: +06088-523500 / 088-523531 FAX: +06088-523535 E-MAIL: sabahparks@gmail.com
ALL CLIMBERS ARE REQUIRED TO COMPLETE THIS FORM AND RETURN IT TO THE OFFICE WITHIN ONE WEEK
(THIS INFORMATION IS FOR CERTIFICATE, INSURANCE AND STATISTICAL PURPOSES)

NAME OF APPLICANT:
ADDRESS / E-MAIL :
CONTACT NUMBER : FAX NUMBER:
SUBMITTED BY (NAME): TOUR GUIDE NAME & LICENSE NUMBER:
DATE OF SUBMISSION : DATE OF CLIMB : PERIOD OF CLIMB: ( ) DAY
BOOKING FOR ACCOMMODATION )
SUTERA SANCTUARY LODGES. LR/GL/WH/PL: ( ) PAX MOUNTAIN TORQ: ( ) PAX LEMAING HOSTEL: ROOM 1/2 (BED NO: )
REF: VISITOR PARTICULAR
MALAYSIA
NO
LR/GL/WH/PL ( 12)Pax FULL NAME ( IN BLOCK LETTER ) I.C / PASSPORT NO SEX AGE NATIONALITY
SABAH SWK WMAL

1
2
3
4
5
6
7
8
9
10

My group and I confirm that all the particulars given above are true :
………………………………………………………………..
( Signature Of Group Leader )
Name
FOR SABAH PARKS OFFICE'S USE ONLY
LEMAING HOSTEL FEE + MEALS………………..…………………….. @RM200.00 Per person ( ) PAX RM Group Number
GOODS & SERVICES TAX (GST) ………………………………………………………………….……............. ( 6% ) RM
PERMIT FEE for NON-MALAYSIAN (18 YEARS & ABOVE) ……… @RM200.00 Per person ( ) PAX RM
PERMIT FEE for NON-MALAYSIAN (BELOW 18 YEARS) …………. @RM80.00 Per person ( ) PAX RM Guide's Name
PERMIT FEE for MALAYSIAN (18 YEARS & ABOVE) ………………. @RM50.00 Per person ( ) PAX RM
PERMIT FEE for MALAYSIAN (BELOW 18 YEARS)……………………@RM30.00 Per person ( ) PAX RM
INSURANCE FEE @RM7.00 Per person ( ) PAX RM
………………………………………………………………….. TOTAL RM
Received By: Time: Approved By: Date:
Date:
Receipt No: Signature & Co. stamp: Remarks:
Signature Of Officer On Duty:
ORIGINAL : KINABALU PARK DUPLICATE: MT GUIDE TRIPLICATE: INSURANC