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Hotel Aditya Residency
Guest Self Declaration form
* Indicates required question
Your Safety & Well-being is always our first priority!
Date
*
MM
/
DD
/
YYYY
Name
*
Your answer
Age
*
Your answer
Gender
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Choose
Male
Female
Nationality
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Indian
Other
Mobile Number
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Your answer
Email Id:-
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Your answer
Permanent Address
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Coming From
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Train
By Road
flight
Going to
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Your answer
Mode of transportation while going back:-
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Your answer
Flight Details:-
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Your answer
Train Details:-
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Your answer
Arrival Date and time
*
Your answer
Departure Date and time
*
Your answer
Room No
Your answer
Purpose of Visit
*
Your answer
Checkout time:-
*
Time
:
AM
PM
Travel History
*
Your answer
Self Declaration of Guest that he/She has no Symptoms;-
*
Yes
Required
Guest Signature (Name):-
*
Your answer
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