Application form for trekking in National Park / WL Sanctuary

 

1

 Name, Address & Phone nos. Age Sex
a.      
b.      
c.      
d.      

 

 

2

Accommodation if required:

(see particulars in the website)

  
a. Date and time of check-in  
b. Date and time of check-out  
c. No. of days of stay  
 

 

 

 
3.

Trekking particulars

(see procedure for booking)

 
a. Whether keen on nature, conservation and education  
b. Date of commencement of trek  
c. Route no. (give 2 or 3 options in the order of preference)  
d. No. of guides required. Payment to be made direct to guide.  
 

 

 

 
4. Payment (see tariff chart)  
a. Amount enclosed (with calculation)  
b. Mode of payment  

 

 

Note:

1.     On receipt of this application, reservation voucher (bill) will be issued by the concerned authority.  In case of any changes intimated well before hand, a revised application shall be submitted.

 

2.      If the trekker comes through M/s Jungle Lodges & Resorts Ltd., or an accredited Naturalist, the entire application process and reservation should be handled by them / him. The Naturalist will deal with the Park / Sanctuary authority on behalf of the trekking applicants.

 

I / we have gone through the trekking guidelines issued by the Chief Wildlife Warden, Karnataka, and agree to abide by the same.

 

 

Signature of the Applicant               

Date:

Place:

 

Submitted to the Range Forest Officer, ______________________ Range, ___________________ NP / WLS, (with address).