INDIAN INSTITUTE OF TECHNOLOGY BOMBAY

For GH Office Use

S.No.:

GUEST HOUSE
Request for Accommodation

Page No.:

Ref. No. : ___________________

Date

: ___________________

REQUISITION FOR VENUE / ACCOMMODATION FOR CEP / QIP COURSE

(Category : Official)
CEP / QIP Course Title

: ________________________________________________________________
________________________________________________________________

Course Dates

: ________________________________________________________________

Course Coordinator

: _________________________________________________________________

Rooms:
No. of participants : ____ (List to be given separately) Double rooms required : _____ Nos. VanVihar

Old Guest House

Dates : From ______________________ To : ____________________ ( Remarks :

Venue:
Seminar Hall
Conference Hall
Dates : _____________________________________________
_________________________________________________________________________________________________

Payment :

The bill for accommodation, conference/seminar hall, refreshments and lunches may be routed through the course
coordinator before forwarding to CEP/QIP office.

All other expenses including extra food, water bottles, telephone etc. is to be collected from the participants.
----------------------------------------------------------------------------------------Applicant Signature :

Date : __________

Name of Coordinator : __________________________________________________________

To: Manager, Guest House

_________________________________________________________________________________________________
For Guest House Use :