‘SEA GATE HOLIDAY HOMES No 28/2391 C- 1 KMD Square, AV George Road Kathrkadavu, Cochin, Kerala 682017 Office: +91 484 4073710 Mobile : +91 9495113798 E mail: lakholidays@gmail.com Applic tion for Package Tour to Lakshadw 1 Name in ull in Block eters) 2 FatheriHlusband's name 3 Permanent Address 4 Mailing Address with telephone/Mobile No, 5 Nationality 6 Date of Binh ( with Aga as on Departure date) 17 Food Preference 8 Name of Package 9 Date of Departure 10 Class of Accommodation required & no of Pax. 11 Particulars of other members ofthe group (if aumber of members are more than $ uttach adiiomsl sheet) 'SL.No. | Name in full ‘Sex_| Date of Birth & Age | Nationality | Food Preference 1 "Thereby declare thatthe information furnished abo is core and true tothe best of my knowledge and belie. underake to abide by the mules and directions under Lakshadweep (Restriction om Entry & Residence) Rules, 1967 as applicable to permit holders Place: Date: Signature Al tourists should carry their photo identity card at the time of Boarding Procedures Recognised by (SPORTS) Lakshadweep Tourism PORTS