Online Check In

WELCOME TO THE ONLINE GUEST CHECK IN AT SAMUDRA RAYA VILLA BALI

Please fill out all required fields and upload a photo from the passport for every guest.

Booking Period

From

Until

Number of Guests *

Primary Guest

Name *

First

Last

Gender

Date of Birth *

Phone *

Email *

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 2

Name *

First

Last

Gender

Date of Birth *

Phone *

Email *

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 3

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 4

Name *

First

Last

Date of Birth *

Gender

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 5

Name *

First

Last

Date of Birth *

Gender

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 6

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 7

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 8

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 9

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Guest # 10

Name *

First

Last

Gender

Date of Birth *

Phone

Identification *

First

Last

Please upload a copy of your Passport/ID (pdf, doc, jpg, jpeg) *

Click or drag a file to this area to upload.

Additional Services

To prepare your check-in we would like to ask you some questions.

Do you require a car transfer?

Flight Details or Pick Up Address

Please mention the passenger's name, flight number, arrival day, and time (Airport Transfer).
Please provide accommodation name, address, Room number and pick-up time. (Hotel Pick-up)

Additional Information

Terms & Conditions

I understand that my personal data will be saved and used for on-site services and marketing marketing purposes. I read and agree herewith to the house-rules, safety standards and liability regulation

I have read and accept