Aum Sri Sai Ram

Sri Sathya Sai Accommodation Office, Prasanthi Nilayam

Form C

Please fill up ALL fields, in BLOCK LETTERS, CLEARLY & LEGIBLY.

One form per visitor, (Including Children) on arrival.

Personal Details:

Surname :

Given Name :

Gender : Male Female

Date of Birth : (in dd/mm/yyyy format)

Category of Travel : Tourist PIO OCI If others, mention: _______

Nationality :

Address in country where residing permanently:

Permanent Address :

City :

Country :

Home Address or Reference in India, if any :

Any home address or

Reference in India :

None Prasanthi Nilayam

If any other, mention here : _______________________

Passport Details:

Passport No. :

City of Issue :

Country of Issue :

Date of Issue : (in dd/mm/yyyy format)

Valid Till which date : (in dd/mm/yyyy format)

.. PTO

Visa Details:

Visa No.

( or OCI No. / PIO No. )

City of Issue :

Country of Issue :

Date of Issue : (in dd/mm/yyyy format)

Valid Till which date : (in dd/mm/yyyy format)

Type of Visa : Tourist PIO OCI If others, mention: ____

Arrival Information:

Arrived in India, from which country :

City (Place) in above country :

Date of Arrival in India : (in dd/mm/yyyy format)

Date of Arrival in Ashram : (in dd/mm/yyyy format)

Time of Arrival in Ashram :

Staying how many days in Ashram ? : (planned duration)

Other Details:

Whether employed in India? : No Yes

Purpose of Visit : Tourist If others, mention :

____________

Proposed Next Destination In India :

(after departure from Prasanthi

Nilayam)

Bangalore Mumbai

Chennai Delhi

If others, mention here : ______________

Your contact Mobile No./

Telephone No.

In INDIA:

In YOUR COUNTRY :

I certify that all information presented here is true and I agree to abide by the rules

and regulations of the Ashram during my stay.

Signature:________________________

(Based on Form C of the Ministry of Home Affairs, Government of India. http://mha.gov.in)