Aum Sri Sai Ram Sri Sathya Sai Accommodation Office, Prasanthi Nilayam Form C Photo Please fill up ALL fields,. in BLOCK LETTERS, CLEARLY & LEGIBLY. One form per visitor, on arrival.

Personal Details :

Surname : Given Name : Gender : Male Female Date of Birth : (in dd/mm/yyyy format)

Category of Travel : Tourist PIO OCI If others, mention: ______Nationality :

Address in country where residing permanently :

Permanent Address : City : Country :

Home Address or Reference in , if any :

Any home address or None Prasanthi Nilayam Reference in India : If any other, mention here : ______

Passport Details :

Passport No. : City of Issue : Country of Issue : Date of Issue : (in dd/mm/yyyy format) Valid Till which date : (in dd/mm/yyyy format)

….. PTO…

Visa Details :

Visa No. ( or OCI No. / PIO No. ) City of Issue : Country of Issue : Date of Issue : (in dd/mm/yyyy format) Valid Till which date : (in dd/mm/yyyy format) Type of Visa : Tourist PIO OCI If others, mention: ____

Arrival Information : Arrived in India, from which country : City (Place) in above country : Date of Arrival in India : (in dd/mm/yyyy format) Date of Arrival in : (in dd/mm/yyyy format) Time of Arrival in Ashram : Staying how many days in Ashram ? : (planned duration)

Other Details:

Whether employed in India ? : No Yes

Purpose of Visit : Tourist If others, mention : ______Proposed Next Destination In India : (after departure from Prasanthi Nilayam) Delhi If others, mention here : ______Your contact Mobile No./ In INDIA(if any) : Telephone No. In YOUR COUNTRY :

I certify that all information presented here is true and I agree to abide by the rules and regulations of the Ashram during my stay.

Signature :______(Based on Form C of the Ministry of Home Affairs, Government of India. http://mha.gov.in)