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Application Form 2023

This document contains an application form for obtaining a permit to undertake the 2023 Shri Amarnathji Yatra pilgrimage to the holy cave shrine located in Kashmir, India. The form requests information such as the applicant's name, age, gender, address, contact details, medical certification, nominated insurance beneficiary in case of death, and agreement to abide by rules set by the Shrine Board. It specifies that applicants must be between 13-70 years old and women cannot be more than 6 weeks pregnant. It also details the insurance coverage of Rs. 500,000 provided to registered pilgrims in the event of accidental death within Jammu and Kashmir.

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Raghavendra Varna
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782 views1 page

Application Form 2023

This document contains an application form for obtaining a permit to undertake the 2023 Shri Amarnathji Yatra pilgrimage to the holy cave shrine located in Kashmir, India. The form requests information such as the applicant's name, age, gender, address, contact details, medical certification, nominated insurance beneficiary in case of death, and agreement to abide by rules set by the Shrine Board. It specifies that applicants must be between 13-70 years old and women cannot be more than 6 weeks pregnant. It also details the insurance coverage of Rs. 500,000 provided to registered pilgrims in the event of accidental death within Jammu and Kashmir.

Uploaded by

Raghavendra Varna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Shri Amarnathji Yatra 2023

YATRA PERMIT Applicant’s


photograph
APPLICATION FORM
which
(Please fill in block letters) should be
signed
across this
Full Name: ________________________________________________________ photograph
FULLNAME:
Name of Spouse / Father: ____________________________________________
GENDER (Tick as applicable): Male Female; ; Blood Group:
Gender (Tick as Applicable) Male Female Blood Group: _____________
Age*: Yrs. (No one below the age of 13 years,
Age/Dob: _____________________ (Anyorone
above the age of 70 years will be registered for the Yatra).
below the age of 13 years, and above 70 years)
NAME OF
Note: No SPOUSE/
lady than 6 weeks pregnancy will be registered for the Yatra 2023)
with moreFATHER:
Address: __________________________________________________________
ADDRESS:
State: ________________________________________
STATE: _ PIN
Pin: ________________
Aadhaar: ___________________________ Email (if any): ________________
E-Mail (if any):

CONTACT / PHONE NO MOBILE +91

Telephone with STD Code / Mobile number of the person to be contacted in case of any emergency _

To
The Chief Executive Officer,
Shri Amarnathji Shrine Board,
Jammu / Srinagar.
Sir,
1. I may please be issued a Permit for embarking on Shri Amarnathji Yatra. I shall
start the Yatra from the [Baltal / Chandanwari**] route
on _/ _ 2023.

2. I certify that I have been declared physically fit by the Authorized Doctor / Medical
Institute to undertake the journey to the Shri Amarnathji Holy Cave during July -
August 2023. The prescribed Medical Certificate is attached.

3. I , son / daughter / wife of , nominate


Shri / Smt. _ ; age ________; relationship:
_ to be paid the Insurance proceeds*** upon payment of the Insurance
claim in case of my death due to accident.

4. I solemnly undertake to abide by the Dos & Don’ts / other directions issued by the
Shrine Board / District Administration.

Full Signature of Applicant


* No one below the age of 13 years, or above the age of 70 years, and no lady with more than six weeks
pregnancy will be registered for the Yatra.
Please fill whichever is applicable.
*** A duly registered Yatri with a valid Yatra Permit issued by the Shri Amarnathji Shrine Board, duly endorsed by the issuing
Institution, will be entitled to an insurance cover of Five Lakh Rupees from the Insurance Company in the event of her/ his
death due to any accident inside the State of J&K while undertaking the Shri Amarnathji Yatra. The sum assured will be paid
through the Shrine Board after the nominee of the deceased Yatri completes the due formalities.

For Office Use Business Unit _ Branch

Bank Yatra Registration Slip No. Date _ Route issued

Seal and Signature of Initials of Official


Registration Officer

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