APPLICATION FORM FOR RESERVATION OF ACCOMODATION IN THE HOLIDAY HOME AT KODAIKANAL, OOTY, _____________________
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1. Name of the employee :

2. Emp. no. :

3. Designation :

4. Office / Shop / Tkt.No :

5. Group “C” or Group “D” :

6. Residential address :

7. Telephone no./mobile no. if any :

8. Date of holiday home required from : to:

9. Particulars of family members for whom the holiday home is required (as per pass declaration)
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S.No Name Relationship Age

1.
2.
3.
4.
5.

Declaration

10. I hereby declare that
1. I have not been allotted holiday home at Ooty or Kodaikanal in the past one year.
2. I will not accommodate more than 5 members in the holiday home allotted to me.
3. The amount towards the rent for allotment may be recovered from my salary.

Signature of the applicant
Date:
11. Forwarded to OS / Labour Welfare.

Date: Signature of the Supervisory Official

Office seal:

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Note
1. Holiday home application form should be submitted, four months in advance

2. If accommodation is available, allotment will be done even in the last minute.

3.Amount of recovery
For Group – C employees Rs.12/- per day

For Group – D employees Rs.5/- per day.

For Retired employees Rs.25/- per day.

4. The holiday home will be allotted more than once except during the Vacations.

5. The booking of Holiday home will be 24 hrs from 12 noon to 12 noon commencing from 12 noon of the date of allotment to 12 noon of the next date of allotment. (i.e. if the holiday home is allotted from 04.06.2007 to 06.06.2007, then he can avail the holiday home from 12 noon of 04.06.2007 to 12 noon of 07.06.2007).

6.Cancellation can be done 15 days in advance from the date of allotment, otherwise the amount paid towards the allotment will not be refunded.