Adobe Scan 13-Jan-2023

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ACCOMMODATION DEPARTMENT

REQUESr FoR AccOMMODATION


(RETET for fraaa u)
(TO BE FILLED IN BLOCK LETTERS)
RADHA SOAMI SATSANG BEAS To Enquire Booking Status Via SMS
DERA BABAJAIMAL SINGH, Phone No 07087012700
BEAS, PUNJAB PIN CODE-143 204 Type ABS ? For Help
TET FTHt TTT TH, THTFT, TT-143 204)
TELEPHONE (5T T):01853-271500

To: THE AccOMMODATIoN DEPARTMENT (T4terT fT)


DATE (y131123 AADIIAAR No:1Lo5 666U 2162 ID (ar t } -

(Mr./Mrs./Ms.)(t/ st4rit 4ra):_RHURIYA. HARISHAHALVASNABHAL


(First Name (TIT 4) (Middle Name) (HA H) (Last Name) (af*a ar)

DATE OF BIRTH/ AGE(Tufefe/sr):0111o 1915INITIATED (YES/No) (THAIF feT& T):YES-

RESIDENTIAL ADDRESS(7 T Tr): DADUR_GALA_FALiYU_


_CITY( GARBADH_DIs
DiSTRICT(m):DAHoD
PIN(RT ) : 361151STATE(T=T):.GARAT MoB. No.(a a):1629826 U

PROFESSION/WORK(TTYAT):. KHETL DESIGNATION(3urfu):. No


DISABILITY, IF ANY(rtyaraqestar.ufa t): No
PREVIOUS VisIT: 2019 AccOMMODATION AVAILED: DURATION OF STAY: O DAYS
3t)
PARTICULARS OF AccOMPANYING PERSONS ONLY DEPENDENT FAMILY MEMBERS STAYING AT SAME ADDRESS

S.NO. NAME (H DATE OF BIRTH AADHAAR No. RELATION


FiRST NAME)(eH A1) (MiooLE NAMS)EpA ATE) (LAST NAME)(fu 1)
2.
BHURLYA_ ARLSHBHAL oLLLo 11915 |11o5 66LU 21s2ONn
BHuRTYA SARLABEN Ou lo& 11118 4L12 S12 u19 EEE
3. BHABHo RALkumar 8
RHABHp_mANIS HAREN R 12l0 199ULU2g 5o5 131 UIfea£ca

DURATION OF STAY:19 DAYS ARRIVAL DATE:10lo2|2023 DEPARTURE: 20 0212023


3IT fter)
3huARiHa H
SIGNATURE OF APPLICANT (aTaa
AR
FOR OFFICE USE ONLY

DURATION OF STAY: FROM: To:


NUMBER OF PEOPLE AccOMMODATION ALLOTTED. REGISTRATION NO.:
REMARKS:

DATE:- AUTHORIZED SIGNATURE:


ACCOMREN5/01

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