FORM TO BE FILLED IN FOR RELEASING OF SEATS IN PAWAN HANS HELICOPTER ************* Note : Valid for one day only 1. Destination : ..................... 2. Date of Journey : ..................... 3. Purpose of Journey : ..................... 4. Official/Private : ..................... 5. Nationality : ..................... GOVT. SERVANTS: Sl No. Name of the Applicant Designation Department Basic Pay Sex Age OTHERS Sl No. Name of the Applicant Organization/NGOs Purpose Sex Age 6. Contact Address : ..................... 7. Permanent Address : ..................... Contact No(Ph. No.) : ..................... (Mobile No.) : ..................... Signature of the Applicant Name : NOTE (Only for Tourist and Pvt. Party) Copy of Tribal Pass to be attached in case of visit to the Southern Group of Islands viz. Car Nicobar, Teressa, Katchal and Kamorta.
