RESTAURANT RESERVATION FORM

Booking date: 17 April 2024 ______________________________________________

Time of arrival: 6:00 p.m._________________________________________________

Number of guests: 5 people__________________________________________________

Reservation name: Khadijah binti Raghvender Singh Yadav_________________________

Contact number: 01126182989______________________________________________

E-mail address khadijahyadav@gmail.com___________________________________

Credit card details (please fill in the blanks):

Name of card holder: Khadijah binti Raghvender Singh Yadav________________________

Type of card: Visa__________________________________________________________

Card number: 4000-1234-6878-9850____________________________________________

Expiration date: 760_________________________________________________________

I authorize the use of my card to the restaurant to secure my reservation and cover all
charges, tax, gratuity, cancellation fees, etc.

Cardholder signature: ______________________________________________________

Date: 1 April 2023___________________________________________________________