R E Q U I S I T I O N F O R M
( A L U M N I )
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Visitor Name
:
*
Organization :
*
Mobile No. :
*
Email ID :
*
Address Line1:
*
Address Line2:
City:
*
State:
*
Country:
*
Date of Birth :
*
Passing out year :
*
Degree obtained from (UOR/IITR):
*
Department/Centre:
*
Purposeof Visit
:
*
Booking Type
:
*
PERSONAL
Nationality:
*
INDIAN
FOREIGNER
Date of Arrival
:
*
Date of Depart. :
*
Note:- Alumni can book rooms for max. 2 nights
Expected
Check-in Time :
Expected
Check-out Time :
Category
:
*
CATEGORY-I
Bill Settled By :
*
VISITOR
Apply Date :
*
No of Persons :
*
1
2
3
4
5
6
7
8
<
Sl. No.
Name
Gender
Age
Relationship
1
Note :
...
Alumni can book rooms in IITR's guesthouess for themselves and their immediate family members i.e. parents and children but not for their other relatives, friends or colleagues.
No of Rooms :
0
1
2
No of Suites :
0
1
2
Note:- Alumni can book max. 2 rooms/suites
Please provide any one of the five References from below :
1. IITR Faculty Email ID for reference (IITR Email ID only) :
Name of Faculty
2. LinkedIn Profile ID of Alumnus :
3. Website profile of Alumnus :
4. Attach IITRAA Membership Card:
5. Attach Degree of Alumnus :
(Only .jpg/.jpeg files)
(Only .jpg/.jpeg files)
Membership Card No. :
(In case of member)
Preference of Accommodation :
Hostel_1 :
*
-Select-
N C NIGAM
K I H
T O H - CEC
COMMUNITY CENTRE
I agree to allot me rooms in other Hostels
Hostel_2 :
-Select-
N C NIGAM
K I H
T O H - CEC
COMMUNITY CENTRE
Hostel_3 :
-Select-
N C NIGAM
K I H
T O H - CEC
COMMUNITY CENTRE
Hostel_4 :
-Select-
N C NIGAM
K I H
T O H - CEC
COMMUNITY CENTRE
R
ooms specification (if any) :
I agree with the terms and conditions mentioned below :
Terms & conditions :
...
1. Consuming Alcohol is prohibited in the Guest House
...
2. The booking will stand automatically cancelled if this accommodation is needed by the institute for emergent official purpose
...
3. Incomplete Forms will not be accepted
...
4
. During a single visit, an alumnus can book at the most two rooms for maximum two nights.
...
5. Cancellation of booking is subject to the charges listed below
Cancellation Charges :
...
1. 20% of one day total rent will be charged if cancellation is done between one-two months (60-30 days) before date of arrival.
...
2. 30% of one day total rent will be charged if cancellation is done between two days and one month (30-02 days) before date of arrival.
...
3. 100% of one day total rent will be charged if cancellation is done within two days before date of arrival.
TARIFF OF ROOMS / SUITES
N. C. NIGAM (Visitor's Hostel)
KHOSLA INTERNATIONAL HOUSE
Specification
Charges per day (Rs.)
Specification
Charges per day (Rs.)
AC Rooms
1000
AC Rooms
750
AC Suites
1450
AC Suites
1000
VIP Suites
1800
TOH-CEC
COMMUNITY CENTRE
Specification
Charges per day (Rs.)
Specification
Charges per day (Rs.)
AC Rooms
750
AC Rooms
750
AC Suites
1000
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