Cottage - Reservation & Registration form

S. No. Name M/F Age Relationship to booking person Nationality

1
2
3
4
5
6

Address

Phone number Email ID

Emergency Co Name Emergency Co. Number
Have you gone through any of the Isha yoga program? (Yes /No) :
Designation/Occupation Company Name
Total No. of Persons (Pl. specify below)
Male Female
Type of room / Rent per day (Pl. specify your choice below with no. of rooms)
Brahmaputra Non A/c –Maximum 2 Person
(Rs 850/ day)
Purpose of visit (Pl. specify :
Isha yoga Program / Temple visit / Rejuvenation / Home school / Temple rituals / wedding / Samskrithi / Sadhana /
kalabhairava karma / kalabhairavashanthi / Others :
Locker facilities available in the cottage reception
NOTE: Please produce any one of the following proof of your personal identification upon arrival.
Driving License / Aadhar Card / Passport / Voter's ID / Passport No:
Check in not allowed after 9 PM
Arrival date: Time: Departure Date: Time:

I hereby declare the above Information as accurate, I agree to abide by the instruction of the yoga center

Signature of the guest - Check in: Check out:

For Office Use Only: Form No :

No of day Amount per day Room No

Total Amount : Mode of payment : Cash Card

Receipt No: Receipt Date :

Check in Receptionist: Check out Receptionist: