Koiari rural local-level government and kokoda rural local-level government



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KOIARI RURAL LOCAL-LEVEL GOVERNMENT


and

KOKODA RURAL LOCAL-LEVEL GOVERNMENT




KOKODA TRACK AUTHORITY




KOKODA TRACK TREK PERMIT APPLICATION FORM

To: The Permits & License Officer Banking Details:

Kokoda Track Authority Branch: ANZ Boroko

2nd Floor, Brian Bell Plaza, Boroko Account: 13212966

P O Box 545, BOROKO, NCD 111, PNG BSB#: 018918

Ph/Fx: (675) 323 6020 Ph: (675) 323 6165 Swift Code: ANZBPGPX

E-mail: permits@kokodatrackauthority.org

I/We ……………………………………………………. hereby apply for a group permit to trek the Kokoda Track under the Kokoda Track Permit Law of the Koiari Rural Local-level Government and of the Kokoda Rural Local-level Government in accordance with the Law.


Details of our application are as follows: (Please note that we will issue only one permit per group)

Name of Tour Operator/ Trekking Person: ………………………………………………………………………………

Commercial Operations License number ……………………… (Permits will only be issued to licensed operators)

Dates of Planned Trek: Start: …………………….. . …………………Finish: …………………………………………

Direction of Trek: From ………………… To: ……………..… … Other: ………………………………………

Number of Trekkers: Adults: ……….… Children/Students (18 years and under)……….........................................

Purpose of Trek: War History / Adventure / Eco-Tourism / Other: ……………………………….……………………

Please advise name of Kokoda Track Trek Leader and Guide: ……………………………………………………………



For calculation of Trek Fees, please compile the following:

International Trekker: …………. …..x K300 = K……………. Child/Student: ……x K150 = K…………………….

PNG Resident Trekker: ……………..x K150 = K …………… Child/Student: ……x K 75 = K……………………

Per Day Trip …………………………x..K30.00 = K…………………

Residents of Kokoda Track Area: ………………. (FOC) Aid & Volunteer Workers: ………………. (FOC)

Total Fees to be paid and attached with this Application: K……………………….

Payment method: Cheque / Cash / Tele Transfer (for tele transfer, please attach copy of T/T)
Signature of Applicant: ………………………… Date:.…../...…/2010
Office Use Only:

Permit Number: ………………………….. Receipt Number: …………………………

Please attach details of trek itinerary, campsites, and guest houses.




Day 1

Day 5

Day 9

Day 2

Day 6

Day 10

Day 3

Day 7

Day 11

Day 4

Day 8

Day 12




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