RESTRICTION ON ENTRY AND RESIDENCE APPLICATION FORMS FOR PERMIT/PERMISSION

 

                        To protect the interests of the general public of Lakshadweep, about 95% of whom are Scheduled Tribes, the Administrator has, with previous approval of Central Govt. and in exercise of powers vested under Laccadive, Minicoy & Amindivi Islands (laws) Regulation, 1965, made the Laccadive, Minicoy and Amindivi Islands (Restriction on Entry and Residence) Rules, 1967.  As per these rules, every person, who is not a native of these islands, shall have to obtain a permit in the Prescribed Form from the Competent authority, for entering into and residing in these islands.

Exemptions:  Government Officials and Armed Force members, etc. working /visiting these islands and their family members are exempted from this requirement.

Foreigners:    Foreign Tourists having valid Passport and visa for visiting India, can visit as Tourist the islands of Agatti, Kadmat and International Tourist Resort of Bangaram, with permission of Administrator. 

            Foreign Nationals permitted by the Government of India, Ministry of Home Affairs for official purposes can also visit these islands.

Competent Authority >  Secretary to the Administrator, U.T. of Lakshadweep, Indira Gandhi Road, Wellingdon Island, Kochi-682003 [Phone 0484  -  2668245(Office), 2319664 (Residence)] is the competent Authority for issuing Entry Permit.  He has also been authorised to issue permission to Indian Tourists/Foreign Tourists and Officials as per simplified procedure. 

 Assistant Director, in the Department of Tourism, Goa has also been authorised to issue  permission to persons visiting islands availing Goa-Agatti Flight.      

            Application forms are appended.

 

FORM - I

(See rule 5 and rule 6 (proviso)

 

Application for issue of permit for visit/residence in the islands or for issue of fresh permit when original permit has been renewed three times

To

            …………………………………

            …………………………………..

Sir,

 

            I, Shri./Smt./Kumari*  ………………………………son/daughter/wife of (late*)  Shri. …………………………… hereby apply for a permit under the Lakshadweep islands(Restrictions on Entry and Residence) Rules, 1967 authorising me (and the members of my family)* to enter and remain in ……………………….. islands(s) of the Union Territory of the Lakshadweep islands and in that connection furnish the following particulars:

1.      Name in full (in block letters)

2.      Father's name/Husband's name (state whether alive, and if alive, present occupation and residence)

3.      Permanent address

4.      Address in the Islands

5.      Place of birth

6.      Date of birth

7.      Profession (with name of the employer, if any)

8.      If the applicant is not a citizen of India, state

whether he is holder of a passport or permit

and, if so, the floowing particulars of the

passport or permit

 

(i)                 Number and date of issue

(ii)               Designation of the issuing authority and

Place of issue

(iii)             Period upto which it is valid

9.      Previous visit to and residence in the Islands if any

 

From                      To Island visited or which applicant resided No.& Date of permit 
1    
2    
3    

10.  Name and address of two persons in the

Mainland to whom the applicant is well

Known                                                                 1.

                                                                               2.

 

11.  Visible distinguishing marks of the applicant

12.  Proposed period of stay in the Island

13.  Purpose of the visit to the Islands and details

of interest, if any in the Islands

14.  Particulars of wife and children below 18 years

of age, if any who will be accompanying the

applicant (attach three copies of recent

passport size photographs of self and all

members of party.  Pardanaship of Gosha

women need not furnish photographs)

15.  Whether any pervious application for permit

Was rejected give details)

---------------------------------------------------------------------------------------------------------------------

            I hereby declare that the information furnished above is correct and true to the best of my knowledge and belief.

 

 Place:

 Date:

 

 

                                           Signature/L.H.T. impression of the applicant

 

………………………   Specimen signature of L.H.T. impression of applicant and his wife* which shall be detached and affixed to the permit.

---------------------------------------------------------------------------------------------------------------------

*ORDERS OF THE COMPETENT AUTHORITY IF THE APPLICATION IS REJECTED

The above application is rejected for the following reasons:-  

1.

2.

3.

etc.

Place:

Date:                                                                                       Signature

---------------------------------------------------------------------------------------------------------------------

            *Delete not applicable

 

N.B:   1) All persons above 18 years of age except ladies accompanying their husbands shall make separate applications.

2) Fee of Rs. 50/- per application to be remitted at the office of the Secretary to Administrator, UT of Lakshadweep, Willingdon island,   Kochi 3,by cash or by DD on Syndicate Bank.      

AFFIDAVIT / UNDERTAKING

                        I, …………………………….. son of Shri. …………………aged ……..  years ……………. (full address) …………………………………………………….. native of …………………………… island in Lakshadweep do hereby solemnly state and undertake as follows:

 

            1.  That I have been awarded contract of the work of ……………………………. by ………………………….  Department and the work has to be completed expeditiously;

 

            2.  That the work is to be undertaken in …………………….. island in the Union Territory of Lakshadweep;

 

            3.  That there is no skilled workers required for the purpose available from among the islanders and a "No Objection Certificate" has been issued to that effect by the Village (Dweep) Panchayat of  ………………. Island, vide …………………………..;

 

            4.  That I purpose to engage and take the following persons(s) from the mainland to the island for the execution of the above said work;

Sl.No Name , Fathers name & Address Age
     

            5.  That the above said person(s) are accompanying me to the island to work under me and to the best of my knowledge and information his/their antecedent and conduct are good;

            6.  That I hold myself responsible for all acts of commission and omission of the above said person(s) during his/their stay in the island and undertake to sent him/them back to mainland immediately if the authorities of the Administration direct me to do so with or without giving reasons and that I shall report to the Registration Officer concerned as soon as he/they leave the island.

            The particulars furnished above are true and correct to the best of my knowledge and belief.

  Dated ………………………….

 

 

                                                                                    Signature

                                                                                    Name &

                                                                                    Seal of

                                                                             Attesting Officer

 

 


FORM II

ADMINISTRATION OF THE

UNION TERRITORY OF LAKSHADWEEP

 

 

F.No…………………………..                                                      Kavaratti island,

Dated the..................  

O R D E R

 

Sub:- International Tourist Resort, Bangaram - Visit of tourists - permission granted.

 

            WHEREAS  the Casino Hotel, Wellingdon Island, Cochin vide their letter No…….. ……… dated …………….   has applied for permission for bonafide foreign tourists having valid visa and passport for visiting India as a tourist whose particulars are furnished in the Appendix to visit the International Tourist Resorts at Bangaram Island from ………………………………. to ……………………………

            AND WHEREAS the said Casino Hotel have certified that they have checked the travel documents of the tourists and found them to be correct and have also undertaken on behalf of the tourists to ensure abidance by the rules and directions under L.M.A islands (Restriction on Entry and Residence) Rules, 1967 as applicable to such permit holders, and that they will hold themselves responsible for all the omissions and commissions of the said tourists, and that they have under taken to send the said tourists back to mainland immediately if and when the Administration directs them to do so with or without assigning reasons.

 

            Permission, is, therefore, granted to the said tourists whose particulars are furnished in the appendix attached (same for as shown appendix to Form I) to visit Bangaram island from ……………….. to …………………. through the  transit island of Agatti/ Kavaratti.

 

 

                                                           Secretary to Administrator


FORM - I

To

            The Secretary to the Administrator,

            Union Territory of Lakshadweep,

            Wellingdon Island,

            Cochin - 682 003

 

Sub:- International Tourist Resort, Bangaram - Permit for tourists - Application- Submitted.

Dear Sir,

            I am to inform you that the …………. (No.) bonafide foreign tourists having valid visa and passport for visiting India as tourist, whose particulars are furnished in the appendix (in duplicate) have been booked by us to stay on Bangaram Island.  We have checked their passport, visa and other travel document and found them to be in order.

            We hereby declare that the information furnished in the appendix is correct and true to the best of our knowledge and belief and certify that they are bonafide foreign tourists visiting Bangaram International Tourist Resort.  We also undertake on behalf of the said guests that they will abide by the rules and directions under Lakshadweep Minicoy & Amindivi Islands (Restriction on Entry and Residence) Rules, 1967 as applicable to permit holders.  We also hold ourselves responsible for all the omissions and commissions of these guests and we undertake to send them back to mainland immediately if the Administration directs us to do so with or without assigning reasons.  

            It is, therefore, requested that permission may please be accorded for their visit to Bangaram from ………………….. to …………………. Through the transit island of Agatti/Kavaratti.

                                                                                                                                                                                                                                                                Yours faithfully,

APPENDIX TO FORM - I

S.No Name & Home Address with surname underlined(In block capitals) Male or Female Date and Place of Birth Nationality Passport No. & Date of expiry for visit to India by which office/country passport Issued Period of Visit to Bangaram Remarks
1 2 3 4 5 6 7  

 

 

-------------------------------------------------------------------------------------------------------------------Note:- This Form should be furnished in duplicate.  One copy to be deleted and duly signed by  the Secretary to the Administrator should be attached with the order of the Secretary to the Administrator as his  office copy.  


     

FORM II

(See rule 6)

 

Sir,

 

            I, Shri./Smt./Kumari* …………………………………….. son/daughter/ wife* of (late*) Shri. ………………………………………………  holder of the enclosed permit No.  ……….. dated ……….  .  issued under the Lakshadweep Islands (Restrictions on Entry and Residence) Rules, 1967, do hereby request that the said permit may kindly be renewed up to ………………. Endorsed for ……………………………………… Island(s)* for the following reasons:-

 

1.

2.

3.

 etc.

 

Place:

Date:

                                                                                    Signature/L.H.T. impression of applicant

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 (OFFICIAL USE ONLY)

 

*ORDERS OF COMPETENT AUTHORITY IF APPLICATION FOR

RENEWAL/ENDORESEMENT IS REJECTED

 

 

The above application is rejected for the following reasons:-

 

1.

2.

3.

 

            The permit is returned herewith:

 

 

Place:

Date:

 

                                                                                                Signature

---------------------------------------------------------------------------------------------------------------------*Delete if not applicable

 

DECLARATION

            I declare that Shri./Smt. …………………………… S/o ……………………… who is my …………………………… is accompanying me to Island and will be staying with me at the Island that I hold myself responsible for all his commissions and omissions during his/her stay in the Island.  That I undertake to send him/her back to mainland immediately the Administration direct me to do so with or without giving reasons and that I shall report to the Registration Officer concerned as soon as he/ she leaves the Island.

 

 

                                                                        Signature :

Place:                                                              Name      :

Date:                                                               Address  :

 

 


Issued to Shri. ……………………………………… on remitting the fee of Rs.50/- vide challan No. …………….. dated …………….

 

 



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