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C Form (YOGMAYA HOME STAY)
Guests Personal Details for official Records only
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* Indicates required question
Surname (As per Passport)
*
Your answer
Given name (As per Passport)
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Your answer
Gender
*
Male
Female
Transgender
Nationality
*
Your answer
Address in country where residing permanently
*
Your answer
City
*
Your answer
Country
*
Your answer
Passport No.
*
Your answer
Place (City) of Issue the Passport
*
Your answer
Place (Country) of Issue the Passport
*
Your answer
Visa Number
*
Your answer
Date of Issue the Visa
*
MM
/
DD
/
YYYY
Date Valid Till
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MM
/
DD
/
YYYY
Place (City) of Issue the Visa
*
Your answer
Place (Country) of Issue the Visa
*
Your answer
Arrived from Country
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Your answer
Arrived from City
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Your answer
Presently Arrived from City
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Your answer
Arrived from Place
*
Your answer
Date of arrival in India
*
MM
/
DD
/
YYYY
Next Expected Destination
*
Your answer
Mobile No.(in India)
Your answer
Mobile No. along with country Code (Permanently residing country)
*
Your answer
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