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APPLICATION FOR RESERVATION/CANCELLATION OF SHIP TICKET
APPLICATION FORM FOR RESERVATION/CANCELLATION OF HELICOPTER TICKET
RESERVATION/CANCELLATION REQUISITION FORM
APPLICATION FOR PRE-SEA TRAINING IN RATING
APPLICATION FORM FOR SEARCH AND RESCUEAPPLICATION FOR RESERVATION/CANCELLATION OF SHIP TICKE
Date of journey: Class:
Name of Ship: No. berths/Seats
Passage from: To
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S.No. |
Name |
Age |
Sex |
Category |
Permit No* |
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* Only permit holders need to be filled
Special Requests: 2 berth Cabin Berth: Upper/Lower
4 berth Cabin
Category: Class:
P: Permit Holder Owners Cabin: O
G: Government Servant First Class: F (only MV Tipu)
I: Islander (Lakshadweep Inhabitant) Second Class: S
T: Tourist Deck: D
R: Relatives of Govt. servant Pullman Seat: P
Chair: C (IIF Only)
Date: Signature:
Time: Name:
Address:
Telephone No.
FOR OFFICE USE ONLY
PT ID No. Seat Allotted
Supporting Document Verfied Signature:
APPLICATION FORM FOR RESERVATION/CANCELLATION OF HELICOPTER TICKET
Date of Journey:1.
2.
Passage from:3.
Passage to:4.
No. of seats required
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S.No |
Name of the Passenger |
Age |
Sex |
Weight |
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Place:
Date:
Signature of the Applicant
ADMINISTRATION OF THE UNION TERRITORY OF LAKSHADWEEP,
PORT DEPARTMENT
APPLICATION FOR PRE-SEA TRAINING IN RATING
Ref.No. and Date.
Course applied for
Saloon Rating /General Purpose Rating
1. Name of the Applicant (in BLOCK Letters) :
2. Name of Father :
3. Permanent Address& Telephone No :
4. Communication Address & Telephone No. :
5. Date of Birth :
(attested copy of proof should be attached)
6. Educational Qualification :
(attested copy of proof should be attached)
7. Caste :
(attested copy of proof should be attached)
8. Nativity :
(attested copy of proof should be attached)
9. Whether Medical Fitness Certificate attached :
Place Signature of the Applicant
Date
APPLICATION FORM FOR SEARCH AND RESCUE
i. Name of the vessel
ii. Name of the Owner:
iii. Port of registry
iv. Tonnage
v. Number of crew onboard
vi Colour of the craft
vii. Whether it has communication & navigational aids
viii. Make of engine and speed
ix. Date and place of departure and destination
x. Cargo onboard
xi. Availability of water and food
Place: Applicant:
Date: Signature:
Time:
Note:
a) Immediately on the receipt of the intimation all the ports in Lakshadweep will be alerted
b) After waiting for reasonable time say 24 hours intimation will be given to Coast Guard/ Navy.
RESERVATION/CANCELLATION REQUISITION FORM
FOR RAILWAY TICKET
Train No./Train Name:
Date of Journey: Class :
No. of Passengers Berth/Seat :
From : To:
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Sl.No. |
Name Not more than 15 (Capital) letters |
Sex M/F |
Age |
Choice: LB/MB/UB FC Coupe |
Concession Travel Authority No. |
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PREFIX Dr. IN CASE YOU ARE A MEDICAL PRACTITIONER.
Allotment as per choice is subject to availability
Name and Address of Applicant ..
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Signature of Applicant/Representative ...
Telephone No Date ..Time
For Official Use Only
Sl.No. of Requisition ..PNR NO .Berth/Seat No
Amount Collected ...................Signature of Reservation Clerk .