Form 'C'

Arrival Report of Foreigner in Hotel

Applicant ID : 010218CQQ0KG

010218CQQ0KG

Accomodation Details
Name HOTEL MAA GANGA PALACE

Address Hotel Ganga Palace, Near Royal Enfield Workshop, Hamidia Road

City/District BHOPAL

State MADHYA PRADESH

Star Rating Others

Phone no. 07554242244

Mobile no. 7509803391

Personal Details
Surname DANILOVA
Given name NADEZHDA
Sex Female
Date of birth 01/05/1960 Special Category Others
Nationality RUSSIAN FEDERATION
Address in country where residing permanently
Address RUSS
City RUSS
Country RUSSIAN FEDERATION
Address/Reference in India
Address NEW DELHI
City/District BHOPAL
State MADHYA PRADESH
Pincode 462001
Passport Details
Passport No. 720940412
Place of Issue RUSS, RUSSIAN FEDERATION
Date of Issue 30/08/2012
Expiry Date 30/08/2022

Visa Details
Visa Number 6711160 Date of Issue 16/01/2018
Valid Till 15/07/2018 Visa Type VISIT VISA
Place of Issue russ, RUSSIAN FEDERATION

Arrival Details
Arrived From HOTEL GANGA REGENCY , BHOPAL , RUSSIAN FEDERATION
Date of arrival in India 24/01/2018
Date of Arrival in Hotel 30/01/2018
Time of Arrival in Hotel 21:40 Intended Duration of Stay in 1
Hotel

Whether Employed in India N

Other Details
Purpose of Visit Official
Next Place RESIDENCY
Destination City/District AHMEDABAD
State GUJARAT
Contact No.(in India) 07554929944
Mobile No.(in India) 9977996870
Contact No.(Permanently residing 07554929944
country)
Mobile No.(Permanently residing 79106297266
country)
Remarks(If any)
Remark

Page 1 of 3
 Form 'C'
Arrival Report of Foreigner in Hotel
Applicant ID : 0102184T06QK

0102184T06QK

Accomodation Details
Name HOTEL MAA GANGA PALACE

Address Hotel Ganga Palace, Near Royal Enfield Workshop, Hamidia Road

City/District BHOPAL

State MADHYA PRADESH

Star Rating Others

Phone no. 07554242244

Mobile no. 7509803391

Personal Details
Surname GRYMOV
Given name VLADIMIR
Sex Male
Date of birth 06/11/1951 Special Category Others
Nationality RUSSIAN FEDERATION
Address in country where residing permanently
Address RUSS
City RUSS
Country RUSSIAN FEDERATION
Address/Reference in India
Address NEW DELHI
City/District DELHI
State DELHI
Pincode 462001
Passport Details
Passport No. 732369448
Place of Issue RUSS, RUSSIAN FEDERATION
Date of Issue 15/03/2014
Expiry Date 15/03/2024

Visa Details
Visa Number 6711161 Date of Issue 16/01/2018
Valid Till 15/07/2018 Visa Type VISIT VISA
Place of Issue russ, RUSSIAN FEDERATION

Arrival Details
Arrived From GANGA REGENCY , BHOPAL , RUSSIAN FEDERATION
Date of arrival in India 24/01/2018
Date of Arrival in Hotel 30/01/2018
Time of Arrival in Hotel 21:40 Intended Duration of Stay in 1
Hotel

Whether Employed in India N

Other Details
Purpose of Visit Tourism
Next Place RESIDENCY
Destination City/District AHMEDABAD
State GUJARAT
Contact No.(in India) 07554929944
Mobile No.(in India) 9977996870
Contact No.(Permanently residing 07554929944
country)
Mobile No.(Permanently residing 79106297266
country)
Remarks(If any)
Remark

Page 2 of 3
 Form 'C'
Arrival Report of Foreigner in Hotel
Applicant ID : 010218GLF9VV

010218GLF9VV

Accomodation Details
Name HOTEL MAA GANGA PALACE

Address Hotel Ganga Palace, Near Royal Enfield Workshop, Hamidia Road

City/District BHOPAL

State MADHYA PRADESH

Star Rating Others

Phone no. 07554242244

Mobile no. 7509803391

Personal Details
Surname EFREMENKO
Given name GALINA
Sex Female
Date of birth 13/01/1957 Special Category Others
Nationality RUSSIAN FEDERATION
Address in country where residing permanently
Address RUSS
City RUSS
Country RUSSIAN FEDERATION
Address/Reference in India
Address NEW DELHI
City/District DELHI
State DELHI
Pincode 462001
Passport Details
Passport No. 729094355
Place of Issue RUSS, RUSSIAN FEDERATION
Date of Issue 26/06/2014
Expiry Date 26/06/2024

Visa Details
Visa Number 6711159 Date of Issue 16/01/2018
Valid Till 15/07/2018 Visa Type VISIT VISA
Place of Issue russ, RUSSIAN FEDERATION

Arrival Details
Arrived From GANGA REGENCY , BHOPAL , RUSSIAN FEDERATION
Date of arrival in India 24/01/2018
Date of Arrival in Hotel 30/01/2018
Time of Arrival in Hotel 21:40 Intended Duration of Stay in 1
Hotel

Whether Employed in India N

Other Details
Purpose of Visit Tourism
Next Place RESIDENCY
Destination City/District AHMEDABAD
State GUJARAT
Contact No.(in India) 07554929944
Mobile No.(in India) 9977996870
Contact No.(Permanently residing 07554929944
country)
Mobile No.(Permanently residing 79106297266
country)
Remarks(If any)
Remark

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