Cottage - Reservation & Registration form
S. No. Name M/F Age Relationship to booking person Nationality
1 Rishi Tripathi M 33 Self Indian
2 Sumit Goel M 34 Friend Indian
3
4
5
6
Address 37-D Rajeev Nagar Jodhpur Rajasthan - 342006
Phone number 6375682508 Email ID
[email protected]Emergency Co Name Sumit Goel Emergency Co. Number : 9999011602
Have you gone through any of the Isha yoga program? (Yes /No) :
Designation/Occupation Farmer Company Name Self Employed
Total No. of Persons (Pl. specify below)
Male 2 Female 0 Children (Age below 10 yrs) 0
Type of room / Donation per day (Pl. specify your choice below with no. of rooms)
Thennai Non A/c- 2 persons (Rs 750/ day) (Gents Yes , 1 Shivapadam 3 Non A/c- 2 persons (Rs 850/ day) N
only) Room (Couple and Gents only) A
Brahmaputra Non A/c- 2 persons (Rs 850/ day) NA Shivapadam 3 A/c- 2 persons (Rs 1300/ day) (Couple N
(Ladies only) and Gents only) A
Purpose of visit (Pl. specify : Ashram Visit
Isha yoga Program / Temple visit / Rejuvenation / Home school / Temple rituals / wedding / Samskrithi / Sadhana /
kalabhairava karma / kalabhairavashanthi / Others :
Locker facilities available in the cottage reception
NOTE: Please produce any one of the following proof of your personal identification upon arrival.
Driving License / Aadhar Card / Passport / Voter's ID / Passport No:
Check in between 6:00 AM to 9:00 PM only
Arrival date: 26th Dec 2022 Time: 6:30AM Departure Date: 1st Jan 2023 Time: 6AM
I hereby declare the above Information as accurate, I agree to abide by the instruction of the yoga center
Signature of the guest - Check in: Check out:
For Office Use Only: Form No :
No of day Amount per day Room No
Total Amount : Mode of payment : Cash Card
Receipt No: Receipt Date :
Check in Receptionist: Check out Receptionist: