Take the print out of this Application Form and send the duly filled & signed Application Along to the General Secretary along with the DD for the 50% of full amount for the Room rent/Tour Package in advance.

YOUNG MEN'S CHRISTIAN ASSOCIATION

YMCA INTERNATIONAL GUEST HOUSE

YMCA, KOLLAM-1, KERALA, INDIA

APPLICATION FOR ROOM RESERVATION/TOUR PACKAGE

Fix here your Passport size
Photo Graph

Name (Block letters) ..............................................................................................................................

Residential Address  ...............................................................................................................................

..........................................................................................................  Pin/Zip code ...............................

Phone No. (With ISD Code) .....................................................................................

Mobile ........ .......................................... Nationality ................................. ...............

Office Address .......................................................................................................................................

 ........................................................................................................... Pin/Zip code ..............................

Phone No. (With ISD Code) ............................................................

Mobile No. (With ISD Code) ........ ..................................................

(For foreigners) Passport No. ..................................

Date of issue ...........................  Place of issue .....................................................................................

Visa No. ......................................  Date of issue ...........................  Validity of Visa ............................

I accept the terms & conditions of YMCA International Guest House, and I do agree to make the balance payment against my Bill for the Room rent/Tour Package and all before leaving my room.

Name of Agent/Person undertaking the booking ...................................................................................

Address .............................................................................................................................................. ............................................................................................................................................................

....................................... Pin/Zip code .............................................

Phone No. (With ISD Code) ............................................................

 

Signature:

Name:

(For Office use only)
Approved on ...............................................................

Advance amount Rs. .........................

DD No. ............................................

Date of DD .......................................

Name of Bank . ................................

Receipt No. ......................................

Status of the request ..........................................................................

Signature of the Secretary