ACCOMONDATION REQUEST FORM
Guest House Accommodation Request Form
Name of the Applicant
Please Enter Your Name
Whether CSIR EMPLOYEE
select
Yes
No
Please Select Yes/No
Address
Please Enter Your Address
Phone No
Please Enter Valid Phone NO
Contact Email ID
Please Enter Valid Email ID
Re-Type Email ID
Email does not match with RE-Type Email id
Login Password
At least one Uppercase,one Lowercase,one Number,one Special character,Max 8 characters
Re-Type Login Password
Password doesn't match with login password
Arrival Date
Please Select Date
Arrival Time
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
00
10
20
30
40
50
Please Select Hour
Please Select Minute
am
pm
Please Select am/pm
Departure Date
Please Select Date
Departure Time
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
00
10
20
30
40
50
Please Select Hour
Please Select Minute
am
pm
Please Select am/pm
Total No of Persons
Please Enter Total no. of persons
Child(below-15 Years)
Please Enter No of Child
Enter the visitor details :
Name:
Please Enter Name
Age:
Please Enter Age
Relationship with the applicant:
Please Enter Relationship
UPLOAD ID Proof of one of the Guest/Visitor(less than 400kb and .pdf only)
Please select a file
Purpose Of Visit
Please Enter Your purpose of visit
Enter the Captcha
Please Enter the captcha code