ACCOMMODATION DEPARTMENT

REQUEST FOR ACCOMMODATION

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(TO BE FILLED IN BLOCK LETTERS)
RADHA SOAMI SATSANG BEAS To Enquire Booking Status Via -SMS
DERA BABA JAIMAL SINGH, Phone No 07087012700
BEAS, PUNJAB PIN CODE-143 204 Type ABS ? For Help
(राधा स्वामी स ्‍्ंग ब ‍ ा्, अमी ृत्र, पंजाब -143 204)
TELEPHONE ( ): 01853-271500

TO: THE ACCOMMODATION DEPARTMENT ( )

DATE ( ): ___________ AADHAAR NO.:____________________ ID ( ) ______________

(Mr./Mrs./Ms.)( / ):_____________________________________________________________________
(First Name) (Middle Name) ( ) (Last Name)

DATE OF BIRTH / AGE( / ):______________________ INITIATED (YES/NO) ( ): ________

RESIDENTIAL ADDRESS( ):__________________________________________________________________

________________________________________CITY( ): _________________ DISTRICT( ): _______________

PIN( ):_____________ STATE( ):_________________________MOB. NO.( ):__________________

PROFESSION/WORK( / ):_________________________________ DESIGNATION( ):__________________

DISABILITY, IF ANY( / – ):_______________________________________________________

PREVIOUS VISIT:___________________ ACCOMMODATION AVAILED:___________DURATION OF STAY:__________

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PARTICULARS OF ACCOMPANYING PERSONS – ONLY DEPENDENT FAMILY MEMBERS STAYING AT SAME ADDRESS
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S.NO. NAME ( ) DATE OF BIRTH AADHAAR NO. RELATION
(FIRST NAME) ( ) ( MIDDLE NAME) ( ) (LAST NAME) ( ) ( ) ( :) ( )
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2.
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6.

DURATION OF STAY:_____________ ARRIVAL DATE:_______________ DEPARTURE : _______________________

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SIGNATURE OF APPLICANT ( )

FOR OFFICE USE ONLY

DURATION OF STAY:________________________ FROM:_______________ TO:______________

NUMBER OF PEOPLE:_____ ACCOMMODATION ALLOTTED:________ REGISTRATION NO.:_______________

REMARKS:_____________________________________________________________________________

DATE:_______________ AUTHORIZED SIGNATURE:_________________

ACCOM/RE/15/01