Guest House Booking

Location: -- Select -- Churchgate Kharghar Aksa

Full Name:

Employee Code:

Designation: -- Select -- Member / CBIC Pr. Chief Commissioner / Pr. Director General /(Equivalent) Chief Commissioner / Director General /(Equivalent) Pr. Commissioner / Pr. Additional Director General/(Equivalent) Addl Commissioner / Joint Commissioner Dy. Commissioner / Asstt. Commissioner Others (Please Specify)

Serving/Retired: -- Select -- Serving Retired

Mobile No:

Email ID:

For Whom: -- Select -- Self Dependent Family Others

No of Persons :

No of Rooms: -- Select -- 1 2 3 4 5 6 7 8

Check in Date:

Check Out Date:

Remarks (if any):

Employee ID proof (5mb Max):