बाबा काली कमलीवाला पंचायत क्षेत्र
स्टीफन हाउस, रूम न. ७, एक तल्ला, ४, बी. बी. डी. बाग़ (ईस्ट), कोलकाता - ७००००१
फ़ोन : ०३३ - २२३१ ८१८१, ईमेल : babakali1008@gmail.com
 

वानप्रस्थ आश्रम - स्वर्गाश्रम के आरक्षण हेतु आवेदन पत्र

To,
The Secretary
Baba Kali Kamliwala Panchayet Kshetra
Stephen  House, 1st Floor, Room # 7
4, BBD Bag (East), Kolkata - 700001


Dear Sir,


 

Applicant Name Age    Years
Applicant Mobile E-mail    
Father's Name      
Country  State   City  PIN
Current Address
Applicant Photo (Passport Size) (png/jpg/gif/jpeg)


Any Relative Name and Address (Emergency Purpose Only)

Name Mobile E-mail   Relation
Applicant Office / Business Address
Applicant Photo ID card   (png/jpg/gif/jpeg)
Purpose of Booking   Meditation  Rest  Function attend at Vanprasth, please add details:-
Check-in (10 AM) Check-out (8 AM)  
 How many person staying with applicant, please share details. Click to add persons and to remove persons.
SN Name Gender Age Relation with Applicant
  • I / We undertake to ABIDE BY RULES & REGULATIONS of the Kshetra & follow all instruction there in.
  • I AGREE to ACCEPT PARALLEL Accommodation in case Reserved Accommodation unavailable / not vacant.
  • I will not claim for any LOSS OR DAMAGES from the Kshetra in case Rooms are not available on the date & place reserved.

RULES FOR DHARAMSHALA OF THE KSHETRA

  • In NO circumstances more than 3 PERSONS (Including children) in a SINGLE ROOM & Six Persons in a Reserved FLAT will be allowed.

  • Any damage caused in the premises has to be compensated.

  • Washing of cloths, utensils, use of gas stove, causing pollution is prohibited & storage of waste in not permissible ay any place, other than the place provided it.

  • Reservation is valid up to 7.00 PM on the day and date of reservation failing which kshetra has right to allot the same to other.

  • Donation - Amount are non refundable.

  • Reservation is NON - TRANSFERABLE.

  • Alcohol & Non-Vegetarian foods is strictly prohibited.

  • Management can care dislodge allottee(s) on Non-Fulfilments of Rules framed by Kshetra.

सिफरिशकर्ता, अगर कोई है तो

Name Designation  

Mobile

Address
ज्ञातव्य
०१. एक आवेदन पत्र में १२ व्यक्ति से अधिक लोगो को आवासीय सुविधा नहीं प्रदान को जा सकती हैं |
०२. सिफ़रिष्कर्ता क्षेत्र की कार्यकारिणी का का पदाधिकारी / सदस्य / दानदाता होना अनिवार्य है |