1.
Name of Guest
:
2.
Company/Contact Details
Name
:
Address
:
Phone No.
:
  Fax No.
:
3.
Club Membership No
:
4.
Residence Address
:
5.
Phone No.
:
6.
E-mail Address
:
7.
No. of Persons
Adult
:
Child
:
8.
No. of Rooms
:
9.
Choice of Room
:
Suite AC Deluxe AC Non AC
                 (For Price details refer the Tariff Table)
10.
Dates of Proposed Stay
:
From:
Day: Month: Year:

To:
Day: Month: Year:

11.
Any Special Requests:
Note : By sending this form on-line does not confirm your reservation. The reservation will be confirmed by us through return email or phone.