Post Office_______________________Pin______________Police
Station______________________
Fax No.(if any)_________________________Telephone
No.(if any) ____________________________
5. Route Option: i) Pahalgam
| | ii) Baltal |
| (Please  the option )
6. Preferred Date for Darshan_____________________________________________________________
7. Whether travelling in
a group ? If yes, mention the number & particulars of members.
(Use a separate sheet for details, if required) .
Note : The strength of the
group shall in no case exceed 6 (six) members. However, each pilgrim will
be given a separate Registration - cum - Identity Slip.
Signature/Thumb
Impression of applicant
Medical Fitness Certificate
Certified that the applicant
is fit to undertake the Yatra at the height of 14,500 feet above mean sea
level.
Name of Doctor _______________________________________________________________
Address _____________________________________________________________________
_____________________________________________________________________________
Seal &
Signature of Certifying Doctor
Note : Please enclose an additional
passport-sized photograph for the Registration - cum Identity Slip. |
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