Registration | Tech Data Champions Club FY24

Reservation form

Champions Club FY24 | 30 March - 2 April 2025

As we prepare to welcome you to the Champions Club FY24, please take a moment to provide us with your details. This will enable us to create an experience that caters to your exceptional standing.

This form will take approximately 15 minutes to complete.

All fields are mandatory

Passenger particulars form

Salutation:

First name (as per passport)

Middle name (if included in passport)

Last name (as per passport)

Designation:

Contact number (please include country code):

Country:

State/province (if applicable):

Email:

Dietary preference: (E.g. Vegetarian, halal)

Please specify any allergies (e.g. nuts):

Passport particulars page: (JPG/PNG/PDF not exceeding 5 MB)

(Passport must have validity of more than 6 months from dates of travel)

Upload

Are you traveling with a guest?

Please note that a minimum age of 21 applies to all accompanying guests.

Yes

Travel companion particulars form

Spouse/partner

Family member

Friend

Salutation:

First name (as per passport)

Middle name (if included in passport)

Last name (as per passport)

Contact number (please include country code):

Country:

State/province (if applicable):

Email:

Dietary preference: (E.g. Vegetarian, halal)

Please specify any allergies (e.g. nuts):

Room preference:

Queen/king size bed

Twin beds

*Bed type request will be subject to availability upon check-in

Passport particulars page: (JPG/PNG/PDF not exceeding 5 MB)

Passport must have a validity of more than 6 months

Upload

Do you intend to extend your stay at Raffles Hotel d'Angkor? (Optional)

Yes

Extension of stay is at travelers' own expense

Travel details form

Date of departure to Siem Reap:

Country of departure to Siem Reap:

City of departure to Siem Reap:

Date of return from Siem Reap:

By submitting this form, you acknowledge that you have read and understood the Company’s Privacy Notice (the “Privacy Notice”), and consent to the collection, use and disclosure of your personal data by the Company for the purposes set out in the Privacy Notice as well as to facilitate all administrative related matters in connection with the APJ Champions Club. Where you provide any personal data relating to a third party (e.g. information of your spouse), you represent that you have obtained the consent of the third party to provide their personal data to us for the respective purposes. You and/or the third party may withdraw consent for such collection, use and disclosure, and make an access or correction request in respect of the personal data, in accordance with the Privacy Notice.