SOCIETY FOR PROMOTION

OF NATURE
TOURISM AND SPORTS
Lakshadweep Office
Willingdon Island,
Kochi-682003
Application For Package Tour To Lakshadweep
Please submit in Word format
1. Name in full ( in block letters ) :
2. Fathers/Husband’s name :
3. Permanent Address/for postal purpose :

4. Email ID with telephone/Mobile No. :

(Postal address)
5. Nationality & With Gender :
6. Date of Birth ( with Aga as on Departure date.) (male/female)
7. Food Preference :
8. Name of Tour & Date of Departure. :
In order of preference ( if resorts stay package.) (arrival and departure)
9. Class of Accommodation required & no of pax :
( if Stay on Island mentioned Category of Room )
10. Particulars of other members of the group ( if number of members are more than 5 attach
additional sheet )
Sl.No. Name in full Sex Date of Birth & Age As on Food Preference

I hereby declare that the information furnished above is correct and true to the best of My Knowledge and belief.
I undertake to abide by the rules and directions under Lakshadweep ( Restriction on Entry & Residence)
Rules,1967 as applicable to Tourist/ permit holders. UT Of Lakshadweep has been declared as prohibited area under
Lakshadweep Prohibition Regulation 1979 and carrying of Liquor into Island is an offence under above regulation and rules frame
there under
Place:
Date: Signature.( Optional)
( All Tourists should have their Individual photo Identity Cards with them. Luggage restricted
to 35 Kg each pax ) Age proof documents for children must be produced while reporting for boarding)
For Office Use only.
Rs. Remitted vide Receipts No. Dated. Balance if any Rs.
NEFT Details may be noted here if paid.

NB. UT Of Lakshadweep has been declared as prohibited area under Lakshadweep Prohibition Regulation 1979 and carrying of
Liquor into Island is an offence under above regulation and rules frame there under.