Rambhau Mhalgi Prabodhini

RAMBHAU MHALGI PRABODHINI Keshav Srushti, Uttan village, Esselworld Road, Bhayander (W), Thane- 401106

Booking Form

1) General Information

Name of the firm and full address

Name of programme coordinator and contact number Programme / Event Name Date and Time of Arrival of Participant Date and Time of Departure of Participant Day Package Participant Guest Pax confirmed – for billing Advance Payment status

2) Food a) Type of food required-

Veg – Non veg – b) Date of arrival - c) Date of departure - Services required Time Quantity Remark Services required Time Quantity Remark

Morning-tea/ coffee Morning-tea/ coffee Breakfast Breakfast Session tea/Coffee Session tea/Coffee Lunch Lunch Session tea/Coffee Session tea/Coffee Evening snacks Evening snacks Dinner Dinner

3) Residential Facilities

Sr. Resident Facility Arrangement Total Rooms From To Remarks No 1 Eklavya Double 2 Eklavya Triple 3 Vyaskul Single

(It will not be possible to make changes in above arrangements without one day written notification) 4) Details about training facilities a) Details about Hall -- Auditorium / Arya Chanakya – Board Room / Class Room - - I / II / III / IV b) Details about arrangement -- U shape / Class Room / Cluster / Theatre c) Facilities – with package -- Flip chart & board, table n chairs, pad & pencils at beginning, white board with 3 marker pen, mouth freshener, Filter drinking water.

 Your requirements

Date Details About Hall Arrangement From To Facilities required

5) Other facilities ( At Cost ) Add Flower Pot, Bouquet , Camp fire with sound system, Cake, Video shooting, Photo, Mineral Water, Internet Surfing, Photo Copy (Xerox), Printout, Fax, Flip Chart, Add White Board, Add Marker ,Add Writing Pad, Additional Pencils, Scissors, Garland, Samai ,Shawl, Coconut, Cold Drinks, Details about Sport facilities,

Facilities Date Time Quantity /Details

 Please note that all other requirements will be at cost

Authorized By Representative Of Patron RMP Co – ordinator

Name - Name ------

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Prepared By Authorized By RMP - Programme Officer RMP Sr. Executive Officer