[Form C] [Inserted by Notification No. G.S.R. 325(E), dated 18.3.2016.]

[See paragraph 16(6)]

Arrival Report of Foreigner in Hotel

[To be completed in duplicate]

1. Name and address of the Hotel

PHOTOGRAPH*

or other

premises, where

Accommodation

has been

Provided for

reward/ on payment

2. Phone/Mobile No. of the Hotel/Place of stay_________

3. Name of Foreign Visitor in Full: (as given in passport)

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4. Date of Birth (DD/MM/YYYY)

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5. Address in country where residing permanently

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6. Address / Reference in India

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7. Nationality

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| 8. Passport No.

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9. Place of issue of Passport

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| 10. Date of issue of passport (DD/MM/YYYY)

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11. Valid till (DD/MM/YYYY)

{|

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12. Visa No.

{|

| 13. Date of Issue (DD/MM/YYYY)

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14. Valid till (DD/MM/YYYY)

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| 15. Type of Visa

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16. Place of issue

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17. Arrived from

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18. Place of arrival in India (DD/MM/YYYY)

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19. Date of arrival in Hotel (DD/MM/YYYY)

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20. Time of arrival

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21. Intended duration of stay in Hotel (No. of days)

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22. Whether employed in India (tick √in

appropriate box)

{|

Yes

|

No

|}

23. Purpose of Visit (tick √in

appropriate box)

Business

Transit

Official

Employment

Education

Conference

Visit friends/ relatives

Medical/ Health

Religion/ Pilgrimage

Leisure/ holiday

Sport

Others

24. Next destination/ Proceed to

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25. Contact/ Phone No. in India

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26. In country where permanently residing

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[Schedule [Added by S.O.1881(E), dated 1.11.2006 (w.e.f. 1.11.2006).]

(See paragraph 11-B)

Sl. No.

Peakor Height in Meters

Longitude

Latitude

Remarks

HIMACHAL PRADESH

1.

CB-9 (6108)

77 27'

32 34'

Manali-Batal (RH)-BC-C-I, C-II, C-III and summit attempt

2.

CB-10(Tara Pahar) (6227)

77 28'

32 36'

Manali-Chhatru-Chhota Dara-Bata(RH)-BC-C-I, C-II and summit attempt

3.

CB-11(5955)

77 31'

32 22'

Do

4.

CB-12(6258)

77 33'

32 20'

Do

5.

CB-13(6164)

77 33'

32 21'

Do

6.

CB-13A(6240)

77 33'

32 21'

Do

7.

CB-14(6078)

77 34'

32 32'

Do

8.

CB-16(5825)

77 31'

32 19'

Do

9.

CB-20(5695)

77 31'

32 24'

Do

10.

CB-22(5720)

77 33'

32 24'

Manali-Chhatru-Dhhota Dara- Batal(RH)-Linder-BC-C-I, C-II andsummit attempt

11.

CB-26(5840)

77 29'

32 20'

Batal (RH)-BC-C-I, C-II and summit

12.

CB-31(6096)

77 28'

32 25'

Manali-Chhatru-Chhota Dara- Batal(RH)-BC, C-I, C-II and summit

13.

CB-32(5639)

77 27'

32 26'

Do

14.

CB-33(Minar) (6185)

77 29'

32 28'

Batal (RH-Dekka-BC,C-I, C-II andsummit

15.

CB-34(5635)

77 31'

32 28'

Do

16.

CB-35(5568)

77 30'

32 29'

Manali-Batal (RH)-BC, C-I, C-II andsummit

17.

UnnamedPeak (5510)

77 17'

32 28'

Manali-Darcha-Jispa-BC, C-I, C-II andsummit

18.

UnnamedPeak (5852)

77 14'

32 28'

Do

19.

UnnamedPeak (5765)

77 09'

32 33'

Do

20.

UnnamedPeak (5860)

77 38'

32 15'

Manali-Grampho Chhatru (RH)- Jitang-PutiRunishigri

(BC)-C-I andsummit attempt

21.

Devachan(6265)

77 33'

32 14'

Kulu-Manikaran (RH)-Tos Saram- BaseCamp-C-I, C-II and C-III and summit attempt

22.

Papsura (6440)

77 33'

32 12'

Manali (RH)-Manikaran (RH)-Tos Vill)-Shamshi-Sari-BC-ABC-C-I, C-IIand C-III and summit attempt

23.

WhitaeSail (Dharansura)

77 34'

32 12'

Kulu(RH)-Manikaran (RH)-Tos (6420)

(Vill)-Shamshi-Sari-BC-ABC-C-I, C-II and C-III and summit attempt

24.

UnnamedPeak (5790)

77 38'

32 14'

Manali-Grampho-Chhatru(RH)- DhhotaDara-BC, C-I, C-II and summit attempt

25.

TigerToth (5980)

77 36'

32 18'

Manali-Batal Base Camp-C-I, C-II, C-IIIand summit attempt

26.

UnnamedPeak (5360)

77 47'

32 08'

Batal-Karacha-Barasigri Glacier- C-I,C-II and summit attempt

27.

UnnamedPeak (6090)

77 42'

32 14'

Grampho-Chhota Dara-Batal (HR)-KarchaNala-BC-C-I, C-II andsummit attempt

28.

IndraSan (6223)

77 24'

31 12'

Manali (RH)-Jagatsukh (RH)- Achhika-Seri-TaintaBC-C-I, C-II, C-III,C-IV and summit attempt

29.

DeoTibba (6001)

77 23'

32 11'

Manali (RH)-Jagatsukh (RH)- Achhika-Seri-TaintaBC-C-I, C-II, (DuhanganCol), C-III and summit attempt

30.

AlirathniTibba (5470)

77 26'

32 05'

Kuku (RH)-Malansa-BC-C-I, C-II andsummit attempt

31.

HanumanTibba-I (5932)

77 02'

32 20'

Manali-Solang-Dhundi (RH)-Beas KunBC-ABC

32.

Manali(5640)

77 03'

32 24'

Dhundi (RH)-Beas Kund (BC)-C-I, C-IIand summit attempt

33.

Makerbeh(6069)

77 04'

32 25'

Mandi-Palchan-Dhundi (RH)- BeasKund BC-C-I, C-II, C-III and summit attempt

34.

Shikarbeh(6200)

77 03'

32 23'

Do

35.

BehaliJot (6245)

76 35'

32 50'

Udaipur (RH)-Margaon-BC (Tal Go)C-II and summit attempt

36.

Menthosa(6443)

76 42'

32 55'

Manali-Rohtang pass-Tandi- Udaipur(RH)-Niyar Mallah- Urgosvill

(last vill) BC-C-I, C-II and summit attempt

37.

Phabrang(6172)

76 47'

32 44'

Do

38.

UnnamedPeak (5472)

76 47'

31 44'

Manali-Tandi-Udaipur-Miyar Nallah-KarpatBC-C-I, C-II and summit attempt

39.

UnnamedPeak (5598)

76 48'

32 46'

Do

40.

UnnamedPeak (5666)

76 50'

62 45'

Urgas-Chaliry forest-Gangupa Nalah-BC-C-I,C-II then summit

41.

KharchaParbat (6270)

77 43'

32 21'

Manali Batal (RH)-BC-ABC-C-I summit camp and attempt to summit

42.

ConsolationPeak

77 23'

32 12'

Kulu-Manali (RH)-Chikka- Chandertal-BC-C-II then summit

43.

HanumanTibba-I (5932)

77 02'

32 21'

Manali-Dhundi-Beaskund-BC-C-I, C-II then summit

44.

HanumanTibba-II (5366)

77 02'

32 21'

Do

JAMMU &; KASHMIR

45.

Nun(7135)

7601'

33 59'

(East-Leh-Kargil-Panikhar- Gulmotongas(RH)-BC, C-I, C-II, C-IIIand summit attempt

46.

Kun(7077)

7603'

34 01'

Leh-Kargil-Panikhar-Gulmoton- gas(RH)-BC-C-I, C-II, C-III and summit attempt

47.

Pinnacle(6955)

76 05'

34 01'

Do

48.

WhiteNmeedle (6420)

76 04'

33 59'

Do

49.

Bobang(5971)

76 08'

33 25'

Leh-Harpass-Kijai Nala-Nagdal Lake-C-I,C-II summit attempt

50.

Z-2Peak (6152)

76 12'

33 47'

Kargil-Gulmotongas-Ringdoom- LalungGlacier-BC-C-I, C-II then summit

51.

Z-3Hill (6270)

7619'

33 42'

Kargil-Gulmotongas-Haskira Glacier-C-I,C-II then summit

52.

Z-1(6155)

7608'

33 56'

Do

53.

Z-8(6050)

7620'

33 50'

Do

54.

Kangri(5508)

77 28'

34 00'

Leh-Stock Vill-(RH)-BC-ABC-C-I, C-Iland summit attempt

55.

Kangri(5900)

77 29'

33 57'

Do

56.

TanakPeak (5948)

76 06'

33 48'

Kargil (BC)-Sanku-Pan (RH) to BC-C-I,C-II and summit attempt

57.

Shingrugo

76 58'

33 28'

Kargil-Padam-Pibting C-I, C-II thensummit

58.

Yan(6230)

7604'

33 00'

Leh (RH)-Gya-Gyamarnala- Kongmarule-Nimaling-Shang-

Shangphy-BC-ABC then summit

UTTARANCHAL

59.

PanwaliDwar (6663)

79 57'

30 17'

Song (RH)-Khati-Dwalio-Phukia- BaseCamp-C-I, C-II and summit

60.

NandaDevi East (7437)

79 59'

30 21'

Munsyari (RH)-Lilam-Martoli (Vill)-NasanpattiBhadeligwar BC- C-I,C-Il,C-III and summit attempt

61.

Nandakhat(6545)

79 58'

30 18'

Bharari (RH)-Loharkhet-Khati- Dwali(Vill)-Base Camp C-I, C-II, C-IIIsummit attempt

62.

Mrigthuni(6855)

79 49'

30 17'

Do

63.

Maiktoli(6803)

79 52'

30 16'

Bharari (RH)-Loharkhet-Khati- Dwali(Vill)-Base Camp C-I, C-II, C-IIIsummit attempt

64.

Trishul-I(7120)

79 46'

30 18'

Ghat (RH)-Sitel-Sutol-Lat Kopri- ChandniyaGhat-BC-C-I, C-II, C-IIIsummit attempt

65.

Trishul-II(6690)

7946'

30 17'

Do

66.

Trishul-III(6008)

79 48'

30 17'

Do

67.

Tharkot(6099)

79 49'

30 13'

Bharari (RH)-Khati via Dhakuri- Jatolia-Sunder-Dunga-Sukhran CaveBC-C-I, C-II, C-III and summit attempt

68.

NandaGhunti (6390)

79 43'

30 20'

Debal (RH)-Hemkund (BC)- Roopkund-AttemptNanda ghuntivia the Ronti Saddle

69.

Ronti(6063)

7943'

30 22'

Do

70.

Bhanoti (5645 )

79 50'

30 12'

Bharari (RH)-Loharkhet-Dhakuri-Khati (Vill) Base Camp-C-I, C-II andsummit attempt

71.

Baljuri(5922)

79 57'

30 15'

Bharari (RH)-Loharkhet-Dhakuri- Khati(Vill) Base Camp-C-I, C-II, C-IIIand summit attempt

72.

NandaKot (6861)

80 04'

30 16'

Song (RH)-Loharkhet-Dhakuri Pass-Khati(Vill)-Dwali-C-I, C-II andsummit attempt

73.

LepsaDhura (5913)

80 04'

30 14'

Do

74.

UnnamedPeak

77 16'

32 32'

Domphu Gompa (RH)-Khoksar NaiTempala Pass (BC)-C-I summit attempt

75.

BaraSukha

7836'

31 04'

Uttarkashi-Dunga-Pura (RH)- Tangua-Rania-BaseCamp-C-I and C-II then summit attempt

76.

Rudugaria(5819)

78 52'

30 56'

Gangotri (RH)-Tapovan (BC) then summit

77.

Swargtrohini-I(6252)

78 30'

31 06'

Dehradun-Natwar and Sansiri (RH)-Taila-Osala-BC,BC-I and summit attempt

78.

Swargtrohini-II(6278)

78 30'

31 06'

Do

79.

Banderpunchi(6320)

78 33'

31 00'

Do

80.

Srikanth(6133)

78 48'

30 57'

Uttarkashi-Bhatwari-Sukki (RH)- HasilalsongTel Gad Nullah-BC-I, BC-IIand summit attempt

81.

Gangotri-I(6672)

78 50'

30 55'

Gangotri (RH)-Ruduagria Nallah- BC-C-I, C-IIand summit attempt

82.

Gangotri-II(6590)

78 51'

30 54'

Do

83.

Gangotri-III(6577)

78 52'

30 48'

Do

84.

Joanali(6632)

78 51'

30 52'

Gangotri (RH)-Ruduagira Nallah- BC-C-I,C-II and summit attempt

85.

Jogin-I(6465)

78 55'

60 52'

Gangotri (RH)-Ruduagira Nallah- BC-C-I,C-II and summit attempt

86.

Jogin-II(6342)

78 55'

30 53'

Gangotri (RH)-Ruduagira Nallah- BC-C-I-C-IIand summit attempt

87.

Jogin-III(6166)

78 56'

30 52'

Do

88.

Thalaysagar(6964)

78 59'

30 51'

Do

89.

Manda(6568)

79 00'

59 55'

Gangotri-Chirbas-BC-I, BC-II and summit attempt

90.

MeruNorth (6450)

79 02'

59 52'

Gangotri-Chirbas-Gaumukh- TapovanBC-I, BC-II and summit attempt

91.

MeruEast (6261)

79 02'

29 52'

Do

92.

KirtiStambh (6270)

79 01'

30 49'

Gangotri-Chirbas-Gaumukh BC-I, BC-IIand summit attempt

93.

Bhatekhunta(6578)

79 02'

30 48'

Do

94.

Kedarnath(6962)

79 04'

30 47'

Do

95.

KedarDome (6830)

79 04'

30 48'

Do

96.

KarchaKund (6632)

79 07'

30 46'

Do

97.

Shivling(6543)

79 04'

30 52'

Gangotri-Gaumukh-Nandaban- BC-I,BC-II and summit attempt

98.

Bhagirath-I(6856)

79 09'

30 51'

Do

99.

Bhagirath-II(6512)

79 09'

30 51'

Do

100.

Bhagirath-III(6454)

79 08'

30 52'

Do

101.

VasukiParhal (6792)

79 10'

30 52'

Do

102.

Satopanth(7075)

79 13'

30 50'

Do

103.

SudarshanParbat (6507)

79 05'

30 58'

Gangotri-Gaumukh-BC-I, BC-II andsummit attempt

104.

Changabang(6866)

79 55'

30 29'

Joshimath (RH)-Lata Vill. Belta- Latakhark-Dibrugatta-Upper Deodi-BC-C-I,C-II and summit attempt

105.

Nilkantha(6597)

79 24'

30 43'

Joshimath-Badrinath-BC-I and summit attempt

106.

Chaukhamba-I(7886)

79 15'

30 43'

Joshimath-Mana Vill-BC-I, BC-II, BC-IIIand summit attempt

107.

Chaukhamba-II(7070)

79 15'

30 43'

Do

108.

Chaukhamba-III(6995)

79 15'

30 43'

Do

109.

Chaukhamba-IV(6854)

79 15'

30 43'

Do

110.

Changuch(6322)

80 02'

30 17'

Bharari (RH)-Loharkhet-Khati- Dwali(Vill)-Base Camp-C-I, C-II andsummit attempt

TREKKING PEAKS

111.

StokKangri (6150)

77 28'

33 59'

Leh-Stock Vill (RH)-TC-II-BC-C-I, C-IIand summit attempt

112.

Ladakhi(H.P.)

77 03'

32 22'

Dhundi (RH)-Beas Kund (BC)-AB- C-Iand summit attempt

113.

Friendship (H.P) (6284)

77 12'

3223'

Dhundi (RH)-Beas Kund BC- ABC-C-Iand summit attempt]>