Click here to download the forms

APPLICATION FOR RESERVATION/CANCELLATION OF SHIP TICKET

APPLICATION FORM FOR RESERVATION/CANCELLATION OF HELICOPTER TICKET

RESERVATION/CANCELLATION REQUISITION FORM
FOR RAILWAY TICKET

APPLICATION FOR PRE-SEA TRAINING IN RATING

APPLICATION FORM FOR SEARCH AND RESCUE

APPLICATION FOR RESERVATION/CANCELLATION OF SHIP TICKE

Date of journey: Class:

Name of Ship: No. berths/Seats

Passage from: To

 

S.No.

Name

Age

Sex

Category

Permit No*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  *  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:


 

 # Go to Top

APPLICATION FORM FOR RESERVATION/CANCELLATION OF HELICOPTER TICKET

1.                  Date of Journey:

2.                  Passage from:

3.                  Passage to:

4.                  No. of seats required

 

S.No

Name of the Passenger

Age

Sex

Weight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place:

Date:

Signature of the Applicant


 

#Go to Top

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


 

#Go to Top

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.

 #Go to Top


 

RESERVATION/CANCELLATION REQUISITION FORM

FOR RAILWAY TICKET

 

Train No./Train Name:

Date of Journey: Class :

No. of Passengers Berth/Seat :

From : To:

 

Sl.No.

Name

Not more than 15 (Capital) letters

Sex M/F

Age

Choice: LB/MB/UB FC Coupe

Concession Travel Authority No.

1

         

2

         

3

         

4

         

5

         

6

         

PREFIX ‘Dr.’ IN CASE YOU ARE A MEDICAL PRACTITIONER.

Allotment as per choice is subject to availability

Name and Address of Applicant …………………………………………………………..

…………………………………………………………..

…………………………………………………………..

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…………………….

#Go to Top