CheckMig Pre-Registration Form

Section 1: Travel Direction

Travel Direction: *

Mode of Transport: *

Travel Date: *

Type of Flight:

Flight Number (Numbers Only):

Airline:

City of Origin/Destination:

Country of Origin/Destination:

Vehicle Type:

Vehicle Plate Number:

Border Crossing Checkpoint:

Port of Departure/Arrival:

Cruise Ship?

Yes No

Cruise Name:

Vessel Name:

Boat Name:

River Route:

Airport Name:

Border Crossing Name:

Port Name:

River Port Name:

First Name: *

Middle Name (Optional):

First Surname: *

Second Surname (Optional):

Date of Birth: *

Gender: *

Country of Birth: *

Nationality: *

Document Type: *

Document Number: *

Document Expiry Date:

Country of Residence: *

Contact Phone Number (include country code): *

Email: *

Confirm Email: *

Accommodation Type: *

Hotel Name:

Address in Colombia:

Are you carrying more than USD 10,000? *

Yes No

I agree to the Terms & Conditions *