ACCOMMODATION DEPARTMENT

REQUEST FOR ACCOMMODATION

RADHA SOAMI SATSANG
DERA BABA JAIMAL BEAS (TO BE FILLED IN BLOCK LETTERS) To Enquire Booking Status Via-SMS
SINGH,
BEAS, PUNJAB PIN CODE-143 Phone No 07087012700
204
(RTuT FATAT FaT aT, Type ABS ? For Help
JYT, daTT-143 204)
JE O1853-R88200
T0: THE AccOMMODATION
DEPARTMENT (YÐAdTT TAHPT)
DATE ( 4-2-23 AADHAAR No.:2699YSol7 D t 6.0179
(Mr/Mrs./Ms xt/ surat qard):. ROS HAN SETHI
(First Name) ( TUA TA) Middle Name (Ha A) (Last Name)(ftu TH)
DATE OF BIRTH/
AGE(FHAty an) S6 INITIATED (YS/NO) (ATmT frT &aT ):.
RESIDENTIAL ADDRESS( T 123 A12 KeisHALA C'oLDALY SIREELNO4
NEARkARAN SINGHJRInAcrTY(RER);_- GuRUGLA_DISTRICT (fm):4RUGRAM
PINT as):_12200_STATE(TT): HARIANA MOB.
NO(im a 197/7ZKL78
PROFESSION/WORK(2AITYAT):_ Suss/NESC AAN DESIGNATIONgnitr);_KussINESS/JAN.
DISABILITY, IF ANY(ArUIHTTRdar at T t a): AlLA

PREVIOUS VIsIT:_ 20/9 AccOMMODATION AVAILED: RAT DURATION OF STAY:_

(TE FATA) (TE aft)
PARTICULARS OF AccOMPANYING PERSONS- ONLY DEPENDENT FAMILY MEMBERS STAYING AT SAME ADDRESS
S.No. NAME AT) DATE OF BIRTH AADHAAR No. RELATION
PST NAME)(RIE AT)(MDDLENAME) (H T4)LATNA) (3TA T)
2.
RoSHAN L0 SEHL -1-9_7249urHLol|APPLICAN
DHERINDER SE THI 2-6-80 35219529801o| SaN
3. KAN CHAN SETHZ lo-6-RL 54SKR3L0470 |DAuGHIEAAttA
4. Ris HLKA SE THI. 2-8-06 18333 Yn2n0223GgANn LauauEA
6.
AARAV SETHI_Llascpntso 8-ll-2613 SIy2049 GRADSo
DURATION OF STAY: 2 ARRIVAL DATE: 2-23 DEPARTURE:
3TT tat
Rehe tel
SIGNATURE OF APPLICANT (3TR& KRr)

FOR OFFICE USE ONLY

DURATION OF STAY:
FROM: To:
NUMBER OF PEOPLE: -AccOMMODATION ALLOTTED:_ .REGISTRATION NO.:,
REMARKS:

DATE AUTHORIZED SIGNATURE:.

ACCOM/RE/15/01