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 India, 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 Ashram : (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 : Bangalore Mumbai (after departure from Prasanthi Nilayam) Chennai 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) .