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Application Form 2025 1

The document is an application form for the Shri Amarnathji Yatra 2025, requiring personal details and medical certification from applicants. It specifies eligibility criteria, including age restrictions and health requirements, and includes a section for nominating a beneficiary for insurance in case of death during the Yatra. The form must be submitted to the Chief Executive Officer of the Shri Amarnathji Shrine Board along with the necessary documentation.

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mittanneha
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29K views1 page

Application Form 2025 1

The document is an application form for the Shri Amarnathji Yatra 2025, requiring personal details and medical certification from applicants. It specifies eligibility criteria, including age restrictions and health requirements, and includes a section for nominating a beneficiary for insurance in case of death during the Yatra. The form must be submitted to the Chief Executive Officer of the Shri Amarnathji Shrine Board along with the necessary documentation.

Uploaded by

mittanneha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Shri Amarnathji

Shri Yatra
Amarnathji Yatra 2025
2023
YATRA PERMIT Applicant’s
APPLICATION FORM photograph
which
(Please fill in block letters) should be
signed
across this
Full Name: photograph
FULLNAME:
Name of Spouse / Father:
GENDER (Tick as applicable): Male Female; ; Blood Group:
Gender (Tick as Applicable) Male Female Blood Group:
Age*:
Age/Dob : Yrs. (No one below the age of 13 years,
_ (Any or above the age of 70 years will be registered for the Yatra).
one below the age of 13 years, and above 70 years)
NAME OF
Note: No SPOUSE/
lady than 6 weeks pregnancy will be registered for the Yatra 2025)
with moreFATHER:
Address:
ADDRESS:
State: _
STATE: PIN Pin:
Aadhaar: Email (if any):
E-Mail (if any):

CONTACT / PHONE NO MOBILE +91

Telephone with STD Code / Mobile number of the person to be contacted in case of any emergency _

To
The Chief Executive Officer,
Shri Amarnathji Shrine Board,
Jammu / Srinagar.
Sir,
1. I may please be issued a Permit for embarking on Shri Amarnathji Yatra. I shall
start the Yatra from the [Baltal / Chandanwari**] route
on _/ _ 2025
2023.

2. I certify that I have been declared physically fit by the Authorized Doctor / Medical
Institute to undertake the journey to the Shri Amarnathji Holy Cave during July -
August 2023. The prescribed Medical Certificate is attached.

3. I , son / daughter / wife of , nominate


Shri / Smt. _ ; age ; relationship:
_ to be paid the Insurance proceeds*** upon payment of the Insurance
claim in case of my death due to accident.

4. I solemnly undertake to abide by the Dos & Don’ts / other directions issued by the
Shrine Board / District Administration.

Full Signature of Applicant


* No one below the age of 13 years, or above the age of 70 years, and no lady with more than six weeks
pregnancy will be registered for the Yatra.
Please fill whichever is applicable.
*** A duly registered Yatri with a valid Yatra Permit issued by the Shri Amarnathji Shrine Board, duly endorsed by the issuing
Institution, will be entitled to an insurance cover of Five Lakh Rupees from the Insurance Company in the event of her/ his
death due to any accident inside the State of J&K while undertaking the Shri Amarnathji Yatra. The sum assured will be paid
through the Shrine Board after the nominee of the deceased Yatri completes the due formalities.

For Office Use Business Unit _ Branch

Bank Yatra Registration Slip No. Date _ Route issued

Seal and Signature of Initials of Official


Registration Officer

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