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Name of Applicant:

Mobile No:

Email:

Valid ID CARD Number having address (Self):

Purpose:

Official

Personal

Choose booking category:

Choose:

Pay grade

Designation

Booking for (to be tick marked):

Self

Dependent

Other

Room category:

Total Number of guests:

Total number of rooms booked:

Name of Primary Guest:

Relationship with Guest:

Mobile Number of Guest:

ID Number of Guest:

Address with Pincode:

Address:

Pin Code:

From:

To:

Upload (Uploading option up to 3 documents (max), PDF or image)

Govt ID proof must if Officer On duty CG/SG/PSU/Autonomous body or Serving / Retired officer of MOJS
ID of guest
Self ID of person who is booking