RGLWI

Registration

Personal Details

*Prefix

*Full Name

*Lodge No

*Mobile (Without +91) Only 10 Digits

*E-Mail Invalid Email Format

*Mailing Address

*City

*Pincode

*Registration Type

*Meal Preference

Accommodation Details

Select Hotel

Select Partner

Check In Date

Check Out Date

Amount

Travel Details

*Details of Arrival

Arrival Date

Arrival Time

Flight/Train No.(Arrival)

Details of Departure

Departure Date

Depart. Time

Flight/Train No.(Departure)

Payment Details

*Payment Type

*Bank

*Payment Amount (Accommodation+Registration)

*Date

*Cheque no./NEFT Reference/UTR no.

Terms & Conditions

(Please check the checkbox to accept terms & conditions)

I affirm that I have Registered myself Voluntarily and of my own free will and accord. I further promise to abide by all the Government Rules and Regulations relating to COVID 19 at all times and will strictly maintain the required physical distance at the SM 2023