Professional Documents
Culture Documents
TOURISM DEPARTMENT
NOTIFICATION
Dated : 12.07.2016
Proforma
Financial Assistance for
Photo of applicant
Swarn Jayanti Guru Darshan Yatra, 2016
1. Name of Applicant
2. Father/Husband’s Name
3. Date of Birth
4. Complete Present
Address alongwith
Telephone
Number/Mobile Number
5. Date of Swarn Jayanti From _______
Guru Darshan Yatra To _________
6. Expenditure on Swarn
Jayanti Guru Darshan
Yatra (Enclose
Documentary Proof)
7. Attested Copy of
Enclosures
i. Copy of the Permanent
Residential Certificate
(Domicile) of Haryana.
ii. Copy of the Yatra
Completion Certificate
from the State Govt./
Central Govt./Society.
iii. Declaration Form duly
signed by the pilgrim
that he/she never claim
this Financial Assistance
earlier and would not
claim it in future
iv. Attested copy of required
Visa and Passport, if
any.
Place : Signature of the applicant
Declaration :
Authorized Signatory
Tourism, Department, Haryana
Declaration Form
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