ARRIVAL REPORT OF FOREIGNER IN HOTEL

Form C (See Rule 14)

Sl. No. :
1) Name and address of the Hotel or other premises, where accomadation has been provided for reward / on payment: THATTEKAD BIRDS SONG HOMESTAY Njayappilli P.O. Thattekad pin - 68 66 81 Ernakulam
2) Phone / Mobile No. :
3) Name or Foreign Visitor in full (as given in passport) :

4) Date of birth (DD/MM/YYYY) :
5) Address in Country where residing permanent :
6) Address / Reference in India :
7) Nationality :
8) Passport No. :
9) Place of issue passport:
10) Date of issue passport (DD/MM/YYYY) :
11) Valid till (DD/MM/YYYY) :
12) Visa No. :
13) Date of Issue (DD/MM/YYYY) :
14) Valid till (DD/MM/YYYY) :
15) Type of Visa :
16) Place of Issue :
17) Arrival from :
18) Date of arrival in India (DD/MM/YYYY) :
19) Date of arrival in Hotel (DD/MM/YYYY) :
20) Time of arrival :
21) Intended duration of stay in Hotel (No. of days) :
22) Whether employed in India : Yes: No:
23) Purpose of Visit (Tick in appropriate box) : Business: Transit:
Official: Employment:
Education: Conference:
Visit Friends/ relatives: Medical/Health:
Religion/ Pilgrimage: Leisure/Holidays:
Sports: Others:
24) Next Destination / Proceed to :
25) Contact / Phone No. in India:
26) In Country where permanently residing :