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 : *
Nationality: *
Date of Arrival : *
Date of Depart. : *
  Note:- Alumni can book rooms for max. 2 nights
Expected Check-in Time :

Expected Check-out Time :

Note:-
1. Normal Check-in and Check-out time is - 2 PM
2. In case your arrival/departure time is before/after 2 PM, you may stay in your room/suite if priviously not alloted to other guest.
3. In case room priviously alloted to other guest you may stay in waiting room area
Category : *
Bill Settled By  : *
Apply Date : * Pick a date
No of Persons  : *

Sl. No.NameGenderAgeRelationship
1
     

Note :
... Alumni can book rooms in IITR's guest house for themselves and their immediate family members i.e. parents and children but not for their other relatives, friends or colleagues.
   
No of Rooms :
 
No of Suites :
 
  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
Mobile Number of Faculty (Please mention for instant verification)
2. Linked-in profile URL of Alumnus :
3. Website profile of Alumnus :
4. Attach IITRAA Membership Card: 5. Attach Degree of Alumnus :
Membership Card No. :      (In case of member)
 (Only .jpg/.jpeg files) 		 (Only .jpg/.jpeg files)

   

   
   
Preference of Accommodation :
Hostel 1 : *
 
Hostel 2 :
Hostel 3 :
Hostel 4 :
Rooms specification (if any) :
 
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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