APPLICATION FOR REGISTRATION FOR AMARNATH JI YATRA

 

1. Registration No: (To be filled in by officer).................................					
2. Name :.......................................................... Age:.............
3. Father's/Spouse's Name:.......................................................
4. Permanent address: ..............................................................
State................................. District ....................... Tehsil ..................... Post office.............. Pin ..........
Police Station ............................. Fax No. (if any)...................... Telephone (if any)..................................
5.     Route option:	Pahalgam/Baltal (Please ? the option)
6.     Prefered date for Darshan: ........................................................................
7. Whether travelling in group ?
If yes, mention strength in particulars of members
(Use separate sheet for details if required)
Note:
In case travelling in group  please specify the group strength and the particulars of members to consider passage together. However each pilgrim will be given a separate registration/identity card.

										Signature/thumb impression of applicant

MEDICAL FITNESS CERTIFICATE
	Certified that the applicant is fit to perform yatra at the height of 14,000 feet above main sea level.
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REGISTRATION-CUM-IDENTITY SLIP
FOR SHRI AMARNATH JI YATRA
	Name: ..................................................................................... Age.............
	Parentage:....................................................................................................
	State: .........................................................................................................
	Address: .....................................................................................................
		            .....................................................................................................
				( Above particulars to be filled up by the applicant in capital letters)
	Registration No. (To be allotted by office)............................................................
	Route allowed: ............................................ Date of Darshan ...........................		PhoPhoto
							( To be filled up by office)
	(Route & Darshan date cannot be changed)
						

					     Seal & Signature of Registration Officer