LEMBAGA PEMEGANG AMANAH TAMAN-TAMAN SABAH

(THE BOARD OF TRUSTEES OF SABAH PARKS)

MOUNTAIN CLIMBING RESERVATION FORM
LOT 45 & 46, TINGKAT 1-5, BLOCK H SIGNATURE OFFICE, KK TIMES
SQUARE, COASTAL HIGHWAY, 88100 KOTA KINABALU, SABAH, MALAYSIA.
P. O. Box 10626, 88806 KOTA KINBALU, SABAH, MALAYSIA
TEL: +06088-523531 / 088-523572 FAX: +06088-523535 E-MAIL: reservation@sabahparks.org.my
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 : ( ) DAYS ( ) NIGHT

BOOKING FOR ACCOMMODATION

SUTERA SANCTUARY LODGES. REF: LR/GL/WH/PL
LR/GL/WH/PL:
( 12)Pax MOUNTAIN TORQ: ( ) PAX LEMAING HOSTEL : ROOM 1/2 (BED NO: ) PANALABAN HOSTEL : ( ) PAX
VISITOR PARTICULAR
MALAYSIA
NO FULL NAME ( IN BLOCK LETTER ) I.C / PASSPORT NO SEX AGE NATIONALITY
SABAH SWK WMAL
1
2
3
4
5
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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
PANALABAN HOSTEL FEE + MEALS………………………………………..@RM400.00 Per person ( ) PAX 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……………………………………………………………………… @RM 7.00 Per person ( ) PAX RM___________
TOTAL RM___________
Received By: Time: Approved By: Date:
Date:
Receipt No:
Signature Of Officer On Duty:
Signature & Co. stamp: Remarks:
ORIGINAL : KINABALU PARK DUPLICATE: MT GUIDE TRIPLICATE: INSURANCE