Application Form for Allotment of Accommodation

at College Guest House/Farmer's Hostel

College of Horticulture

Bermiok, Sikkim

1. Name of Visitor(s)*
2. Designation/relation*
3. Official address (If employed)*
4. Permanent address*
5. Mobile No.*
Mobile:
Office:
Res.:
6. Purpose of Visit*
7. Booking Requested For*
8. Description of Visit Category*
(please select)

Expected Arrival*

Date:
9. Expected Departure* Date:
10. Accommodation Requested*
11. Total no. of Persons*

Payment #*
12. Signature with Date*
Signature:
Date:

To,
The Dean,
College of Horticulture
Bermiok, Sikkim
Email - dean.coh.bermiok@example.com

For Official Use Only

Recommended for ...................... Single Room (s)/...................... Double Bed Room(s) ...................... VIP Suit for ....................days, from
.......................................... to .......................................... for .................... persons.

Authorized Signature