Dr.

Ram Manohar Lohiya National Law University

Sector D-1, LDA, Kanpur Road Scheme, Lucknow-226012

REQUEST FOR BOOKING OF GUEST HOUSE ACCOMMODATION

1. Name & Address of visitor : ______________________________________________________________

(in block letters)
____________________________________Mobile No. ________________
2. Status of visit : Official Non official Employee's Relative Student's Parent
3. If employee's relative, please specify relationship : ____________________________________________________
4. Purpose of visit : ______________________________________________________________
5. Accompanied by : ________________________Adults and ____________________Children's
6. Payment made by : Room charges Fooding Charges
Applicant Guest Appliacnt Guest
7. Particulars of Accommodation :

Arrival Departure No. of Rooms

Type of Room
Date Time Date Time Required
Deluxe A/c Room
VIP Suite
VVIP Suite
RECOMMENDATION OF WARDEN (In case of Student)
Applicant's Name _________________________________
Designation/ Enrollment No. ________________________
Signature of Warden _______________________________
Dept./ Hostel Name & Room No. ____________________
Contact No. ______________________________________
Date ___________________________________________
Signature ________________________________________
Terms and Conditions:-
1. Reservations are made on first come first serve basis.
2. Confirmed booking will be cancelled if the guest does not arrive on the mentioned date and time.
3. Students requiring accommodation for their parents are required to get their application form forwarded through
respective hostel warden. One room accommodation for students' Parents at concessional rates is normally
permissible only for two days.
4. Not more than two persons will be allowed in each Room/ Suite.
5. Booking is not permitted for guests undergoing medical treatment who are suffering from contagious disease or
are bed ridden.
6. One day will be counted on 24 Hrs. basis or a part there of commencing from the time of arrival.
7. Pet/Dogs/Cats etc. carried by the visitors are not allowed in the Guest House.
8. Guests must carry a Government issued identity card with them. It will be obligatory on their part to provide this
identity if asked by Guest House caretaker.
9. Host will be responsible for providing information against any query about guest by university /any Govt. authorities.

Official Use Only

Recommendation of Joint Registrar Approval of the Vice-Chancellor
May kindly approve the allotment of rooms as per charges and
category indicated below:
1. ........DLX Room(s) @ ` ..........per day for ..........day(s).
2. ........VIP Room(s) @ ` ..........per day for ..........day(s).
3. ........VVIP Room(s) @ ` ..........per day for ..........day(s).

Joint Registrar Vice-Chancellor

Accommodation Provided in Room No. _________________________from ________________to __________________

Signature of Guest House Caretaker