header.jsp
- 2013
JSP for OnlineregForm form
Forgot your Registration No.?..Click here
Status Enquiry?..Click here
Instructions
* Best viewed in Internet Explorer 5.0 or above
a)
Before filling the Online form, check
Acrobat Reader
installed in your computer system, if you do not have
please click here
to download
and then install it.
b)
After filling the Online form, Press Submit.
c)
Please note your online registration number for Reprint.
d)
For yatra related enquiries please send email to
kmyatra@mea.gov.in
e)
In case of Online regarding support mails may be sent to
shettybn@nic.in
.
f)
The application will be registered only after the print-out of the online application and declaration duly filled and signed by the applicant, along with two photographs, and a copy of personal particulars page of passport of the applicant are received by the Ministry of External Affairs on or before
11-MAR-2013
.
g)
Concealment of any material facts and /or false representation will lead to cancellation of your application.
ONLINE APPLICATION DETAILS
PERSONAL DETAILS
GIVEN NAME (
as in Passport
)
*
SUR NAME (
as in Passport
)
FATHER'S /HUSBAND Name
*
DATE OF BIRTH(
DD/MM/YYYY
)
*
PROFESSION
*
Select
Artist
Farmer
Student
Unemployed
Business
Lawyer
Medical Doctor
Housewife
Retired
Service
SEX
*
Select
Male
Female
Unknown
PHONE NO
*
HOME
OFFICE
BLOOD TYPE
*
Select
OTH
O+
A+
B+
AB+
O-
A-
B-
AB-
MOBILE NO
MOBILE 1
MOBILE 2
RELIGION
*
Select
Sikh
Budhhist
Jain
Hindu
Others
EMAIL ID
FAX NO
ADDRESS
*
STATE
*
Select
ANDAMAN & NICOBAR (U.T)
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH (U.T)
CHATTISGARH
DADRA & NAGAR HAVELI (U.T
DAMAN & DIU (U.T)
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU and KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP (U.T)
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY (U.T)
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
DISTRICT
PINCODE
*
PASSPORT DETAILS (
Please enclose copy of personal particular page of your passport
)
PREVIOUS EXPERIENCE DETAILS
PASSPORT NO
*
VISITED BEFORE
*
Select
Yes
No
NO OF VISITS
*
DATE OF ISSUE
(
DD/MM/YYYY
)
*
VISITED AS
*
Select
YATRI
LIAISON
YEAR OF LAST -3 YATRAS
*
PLACE OF ISSUE
*
Select
OTHERS
AHMEDABAD
AMRITSAR
BHUBANESHWAR
BAREILLY
BANGALORE
MUMBAI
BHOPAL
KOLKATA
COIMBATORE
CHANDIGARH
COCHIN
DEHRADUN
DELHI
GOA
GUWAHATI
GHAZIABAD
HYDERABAD
JALANDHAR
JAMMU
JAIPUR
KOZHIKODE
LUCKNOW
CHENNAI
MADURAI
MALAPPURAM
NAGPUR
PATNA
PUNE
RANCHI
RAIPUR
SRINAGAR
SHIMLA
SURAT
THANE
TIRUCHIRAPPALLI
TRIVANDRUM
VISAKHAPATNAM
exp DATE
(
DD/MM/YYYY
)
*
RELATIVE DETAILS (
to be intimated in case of emergency
)
KIN NAME
*
KIN PHONE NO
*
PHONE NO
ADDRESS
MOBILE NO
EMAILID
Is your SPOUSE also applying for the yatra ?
Select
YES
NO
SPOUSE DETAILS
PERSONAL DETAILS
GIVEN NAME (
as in Passport
)
*
SUR NAME (
as in Passport
)
FATHER'S Name
*
DATE OF BIRTH
(
DD/MM/YYYY
)
*
PROFESSION
*
Select
Artist
Farmer
Student
Unemployed
Business
Lawyer
Medical Doctor
Housewife
Retired
Service
SEX
*
Select
Male
Female
Unknown
PHONE NO
*
HOME
OFFICE
BLOOD TYPE
*
Select
OTH
O+
A+
B+
AB+
O-
A-
B-
AB-
MOBILE NO
*
MOBILE 1
MOBILE 2
RELIGION
*
Select
Sikh
Budhhist
Jain
Hindu
Others
EMAIL ID
FAX NO
ADDRESS
*
STATE
*
Select
ANDAMAN & NICOBAR (U.T)
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH (U.T)
CHATTISGARH
DADRA & NAGAR HAVELI (U.T
DAMAN & DIU (U.T)
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU and KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP (U.T)
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY (U.T)
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
DISTRICT
PINCODE
*
PASSPORT DETAILS (
Please enclose copy of personal particular page of your passport
)
PREVIOUS EXPERIENCE DETAILS
PASSPORT NO
*
VISITED BEFORE
*
Select
Yes
No
NO OF VISITS
*
DATE OF ISSUE
(
DD/MM/YYYY
)
*
VISITED AS.
*
Select
YATRI
LIAISON
YEAR OF LAST -3 YATRAS
*
PLACE OF ISSUE
*
Select
OTHERS
AHMEDABAD
AMRITSAR
BHUBANESHWAR
BAREILLY
BANGALORE
MUMBAI
BHOPAL
KOLKATA
COIMBATORE
CHANDIGARH
COCHIN
DEHRADUN
DELHI
GOA
GUWAHATI
GHAZIABAD
HYDERABAD
JALANDHAR
JAMMU
JAIPUR
KOZHIKODE
LUCKNOW
CHENNAI
MADURAI
MALAPPURAM
NAGPUR
PATNA
PUNE
RANCHI
RAIPUR
SRINAGAR
SHIMLA
SURAT
THANE
TIRUCHIRAPPALLI
TRIVANDRUM
VISAKHAPATNAM
EXP DATE
(
DD/MM/YYYY
)
*
Declaration
a)
I understand and agree that filling up and submitting the online application form does not automatically qualify me as a Yatri for Kailash Manasarovar Yatra
2013
.
b)
I understand and agree that my application will be registered only after the printout of the online application and declaration duly filled-in and signed by me, along with 2 photographs, and a copy of personal particulars page of passport are received by the Ministry of External Affairs on or before
11-MAR-2013
.
c)
In the event of non-receipt of the print-out of my online application, I will not hold the Ministry of External Affairs responsible and will not be entitled to any claim whatsoever either on the Ministry of External Affairs or any other agency related to Kailash Manasarovar Yatra.
d)
I have read and understood the above mentioned conditions stipulated for online application for Kailash Manasarovar Yatra
2013
.
How did you come to know about kmy yatra ?
*
Select
Other
Newspaper
TV
Radio
Internet
Friend
Relative
Former Yatri
I agree
*
Select
YES
NO
All Rights Reserved © National Informatics Centre