BOOKING FOURM

AUM NAHMAYHA SHIVAYA

Registration / Booking Form

Kailash Mansarovar Yatra

Yatri’s Full Name: _____________________________________________

Father name: ______________________________________________________________

Postal Address: __________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Nationality: _____________________ Passport No. _____________________

Date of Birth: ___________________ Place of Birth: ___________________

Sex: _____________ Occupation _____________Busness:__________________

Mobile no------------------------------------Telephone no-----------------------------------

Fax no: ---------------------------------------- Office no: -------------------------------------

Do you have any Medical Conditions we should be aware of? Yes / No

If so, explain: ____________________________________________________

________________________________________________________________

Do you carry a medical insurance? Yes / No If so, Insurance company or provider (with hotline telephone no: ______________________________________________________________

Whom to contact in case of emergency:

Name: _________________________ your relation: ____________________

Phone No: ______________________ Mobile no; ________________________

I understand that I travel on my own risk (Please turn over for terms and conditions). I am aware to the risk involved in this yatra. I will be abiding to the terms & conditions of the foundation.

Date: ___________ Signature------------------------

UNDER TAKING

All agreements between you (the Clients) and (organizer) is making in good faith and foundation will endeavor to make your trek/Tour an easy and enjoyable as possible.

Organizer however cannot be held responsible for:

Ø ANY ADDITIONAL EXPENSES CAUSED BY REASONS BEYOND OUR CONTROL SUCH AS NATURAL CALAMITIES (LANDSLIDES, FLOODS) FLIGHT DELAYS, RESCHEDULING OR CANCEIIATIONS, ANY ACCIDENTS, MEDICAL EVACUATIONS, RIOTS, STRIKES, Injury, accident, illness or death while on the trek / tour unless negligence is proven against foundation.

Ø The loss, theft or damage to or personal goods including cameras, clothing, luggage or similar valuable, clients should refer such claims to their personal insurer.

Ø Alternations to the programmed due to the illness of party member, adverse weather condition or otherwise.

Ø The action of party members who fall to take the advice of trek/tour leaders.

Ø The late departure of return to/from the trek/tour within 24 hours of departure or the withdrawal of party members or the early return from the trek / tour because of illness or otherwise :

Booking Conditions

Ø Trek / Tour can be confirmed by a non-refundable deposit of Rs. 25,000.00 per person on booking.

Signature: __________________