Amarnath Registration Form

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APPLICATION FOR REGISTRATION FOR AMARNATH YATRA

1. Registration No.(to be filled by the office)_______________________________


2. Name_________________________________Age________Sex (M/F) ________
3. Father's Name/Spouse's Name_________________________________________
4. Permanent Address__________________________________________________
_____________________________________________________
___________________________________________________________________
State_____________________District_________________Tehsil_________________________
Post Office_______________________Pin______________Police Station______________________
Fax No.(if any)_________________________Telephone No.(if any)
____________________________
5. Route Option: i) Pahalgam |
| ii) Baltal |
| (Please the option )
6. Preferred Date for
Darshan_____________________________________________________________
7. Whether travelling in a group ? If yes, mention the number & particulars of members. (Use a
separate sheet for details, if required) .
Note : The strength of the group shall in no case exceed 6 (six) members. However, each pilgrim will
be given a separate Registration - cum - Identity Slip.
Signature/Thumb Impression of applicant
________________________________________
Medical Fitness Certificate
Certified that the applicant is fit to undertake the Yatra at the height of 14,500 feet above mean sea
level.
Name of Doctor ________________________________________________________
Address ______________________________________________________________
________________________________________________________________________
Seal & Signature of Certifying Doctor
Note : Please enclose an additional passport-sized photograph for the Registration - cum Identity Slip

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