RESERVATIONS REQUISITION FORM

Name 
Company Name
E-mail
Company Address
Nationality
Arriving From
Proceeding to
Date of Arrival  year month day Time
Date of Departure  year month day Time
Whether employed
in India		 Yes No
Mode of payment
(Cash, Credit card etc.)

No. of rooms required

Chambre Deluxe

Chambre Executive
Single Double Suite

Single Double Suite


For Foreigners Only
Passport Number
Date of Issue
Place of Issue
Date of Arrival in India
Proposed Duration of
stay in India
VISA Number
Date of Issue
Place of Issue

E-Mail : abuin@giasmd01.vsnl.net.in

For Reservation Thru :
Phone : 91-44-26412222 / 26431010
Fax : 91-44-26428091

 

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