Japan Rail Pass Order

Passenger(s) Details

Adult Passenger Details*

The name must be same as in the passport. 12 years old or more

Full name as in the passport	Gender (M=Male/F= Female)

Child Passenger Details

The name must be same as in the passport. (6 to 11 years old)

Full name as in the passport	Gender (M=Male/F= Female)	Date of birth (dd/mm/yyyy)

Departure Date from Singapore*

*Exchange Order is valid for 3 months after issuing. *Please input the date when you leave Singapore. *We will issue JR Pass Exchange order by this date. *Delivery is available at additional cost.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person Name*

Phone Number*

Email Address*

Remarks

Japan Rail Pass Exchange Order

Step 1 of 4

Adult Pass Order

Child Pass Order

Total Pass Cost in SGD

Passenger(s) Details

Optional Purchase

Payment & Others