Booking Request

Applicant Category*    
  Recommended By *    Term as MP *
Occasion*       Name of Function *    Relation with Dependent*

Period of Allotment

From Date*                       To Date*   No. of Days    
Rent for one day                         Security Deposit     Total Rent    
   No. of Applicants

Applicant Detail

Name* ID Card / PPO No.*
Photograph of the Applicant *
(only .jpeg or .jpg and size upto 20 KB)
Proof of Identity*
(only .jpeg or .jpg and size upto 20 KB)
Designation* Date of Birth*
Scan Copy of Salary Slip *
(only .jpeg or .jpg and size upto 50 KB)
Scan Copy of Pension Payment Card *
(only .jpeg or .jpg and size upto 50 KB)
Pay Level * Pay Index * Present Basic Pay*
Basic Pay*
Select your Office from List :-  Search Office 
Office Address*   
Contact Address*
Phone Fax
E-Mail Mobile*


I agree that all information listed above is honest and accurate.
I Accept the Undertaking