:: Amme Narayana Devi Narayana ::
Special Family Suite Project
Application Form

1. Name of Applicant :
2. Full Address :
   
3. Phone No. :
4. Religion :
5. Nationality :
6. State :
7. Age / Date of Birth :
8. Number of suites requested :

Nomination
I / We wish to nominate Sri / Smt ............................................................
.................................................................................................................
..................................... as my nominee for the right of the suite allotted
in favour in case of my demise or if I wish to relinquish the allotment.
( In both cases the facts should be notified to the Devaswom in time ).
 

Declaration
I / We do hereby agree and declare that the facts given above are trueto the best of my knowledge. It is also agreed that the unit will be used by me or by my authorised nominee in accordance with the temple rituals and customs and to abide by the rules and conditions stipulated in the agreement.
 
Place :
Date  :
Applicant