Request Form for User Registration

(Form C)
User Details
User ID mahmood1
Name Mahmood Ali Khan
Gender Male Date of birth 16/06/1956
Designation retired Email id mak5697@yahoo.com
Mobile 00919700189741 Phone no 0402745571
Nationality INDIA
Hotel / Guest House / Dharamshala / Institute / Individual House / etc. Details
Name samimmanzil
Capacity 2
Address 2-2-23/22/2 Baghamberpet
State TELANGANA City/District HYDERABAD
Accomodation type Individual House
Accomodation grade Others
Email id mak5697@yahoo.com
Mobile 00919700189741
Phone no 0402745571
Owner's Details
Name mahmood ali khan
Address 2-2-23/22/2 Baghamberpet
State TELANGANA City/District HYDERABAD
Email id mak5697@yahoo.com
Mobile 00919700189741
Phone no 0402745571

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Signature of the Applicant

Date--------------------
Place--------------------

_______________

Name and Signature of Hotel / Guest House / Dharamshala / Institute / Individual House / etc.

Date--------------------
Place--------------------
Registration office address

Office Name : FRRO HYDERABAD

Address : Bureau of Immigration,(MHA), Govt. of India, Room No. 301, 3rd Floor, CGO Towers, Kavadiguda
City/ District : HYDERABAD
State : TELANGANA
Pin Code : 500080
Phone Number : 27541022