FORM1 [See rule 3(1) (a)] Basic information of accommodation and tariff 1. Name of Hotel... 2. AddressofHotel... 3. Telephone Number... 4. NameofProprietor... 5. Naine of Managing Director/Manager... 6. Accommodation capacity and Tariff... 7. Registration Certificate No. Rooms No. of beds Tariff Type Number Single Double Double occupancy (a) Single occupancy (a) Suite ___________________________________ Others Grand Total Signature.. Name.... Designation. Date: I, the above named Shri ................ residing at ....................... do hereby solemnly affirm and say that the contents of the above return are true to the best of my information and belief. Place:..... Dated:..... Signature of hotelier
