Retroactive Claim

Retroactive Points Claim Form

Please complete this form and submit it to Dusit Gold Service Centre within 90 days of the transaction or check-out date.

1. Member Information

Full Name (English Only)

Dusit Gold Membership ID

Email Address

2. Stay Information

Property Name

Reservation Confirmation Number

Check-in Date

Check-out Date

3. Supporting Documents

Please attach one of the following documents:

I confirm that the information provided is true and complete. I understand that additional documentation may be requested to verify my claim.

I understand that claims submitted after 90 days from the transaction or check-out date may be rejected. Terms and conditions apply.