"FORM C"
(See rule 14)
ARRIVAL REPORT OF FOREIGNER IN HOTEL
(To be completed in duplicate)
1. Name and address of the Hotel or other premises, where accommodation has been provided for renewal/on payment : ______________________________________________________________________
______________________________________________________________________
2. Phone/Mobile No. of the Hotel/Place of stay : ___________________________________
3. Name of Foreign visit : ___________________________________
4. Date of Birth (DD/MM/YY) : ___________________________________
5. Address in Country where residing permanently : ___________________________________
6. Address/Reference in India : ___________________________________
7. Nationality : __________________________________
8. Passport No. : ___________________________________
9. Place of issue of Passport : ___________________________________
10. Date of issue of Passport : ___________________________________
11. Valid till : ___________________________________
12. Visa No. : ___________________________________
13. Date of Issue : ___________________________________
14. Valid till : ___________________________________
15. Type of Visa : ___________________________________
16. Place of issue : ___________________________________
17. Arrived from : ___________________________________
18. Date of arrival in India (DD/MM/YY) : ___________________________________
19. Date of arrival in Hotel (DD/MM/YY) : ___________________________________
_
20. Time of arrival : ___________________________________
_
21. Intended Duration of stay in Hotel (No. of days) : ___________________________________
_
22. Whether employed in India (tick √ in appropriate box) :___________________________________
_
Yes : ___________________________________
_
No : ___________________________________
_
23. Purpose of visit
(tick √ in appropriate box)
: ___________________________________
_
Business : ___________________________________
_
Transit : ___________________________________
_
Official : ___________________________________
_
Employment : ___________________________________
_
Education : ___________________________________
_
Conference : ___________________________________
_
Visit friends/relatives : ___________________________________
_
Medical/Health : ___________________________________
_
Religion/Pilgrimage : ___________________________________
_
Leisure/Holiday : ___________________________________
_
Sport : ___________________________________
_
Others :
24. Next destination/Proceed to : ___________________________________
_
25. Contact/Phone No (In India) : ___________________________________
_
26. In country where permanently residing : ___________________________________
_
Note:- Please ensure that no column is left blank/incomplete.
* In case web camera/digital camera is not available, photography of the photograph in Passport may be enclosed.
____________________________
Manager’s Signature
[F.No.25022/10/2007.F-I]
G.V.V.SARMA, Jt. Secy.
Note:- The Principal rules were published in the Gazette of India, Extraordinary vide number G.S.R. 318(E) dated 10th March, 1992 and subsequently amended vide number G.S.R. 55(E), dated 29th January 1999.