KAILASA Covid Care Centers
Legal First Name *
Legal Last Name *
City *
State *
Country *
Phone Number *
Email *
Select a KAILASA center you prefer to come to *
Intended date of arrival *
MM
/
DD
/
YYYY
Do you intend to come with your family? *
If yes, please enter the number of family members you intend to bring
Leave empty if arriving alone
Details of family members you intend to bring
E.g. Relationship with you, age, etc. Leave empty if arriving alone
Do you intend on joining KAILASA permanently as an Aadheenavasi/Kailasavasi? *
If no, how many months do you plan on staying in one of the KAILASA centers?
Leave empty if yes
Do you plan on working remotely for your current occupation from the KAILASA center *
Do you have a negative COVID test certification *
Mandatory for all including any family members arriving with you
Submit
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