Form for jerry | Gomecon11

Register for Accomodation in Jerry's Holiday Home St Cruz.

Last date to register is 14 January 2026

Kindly note that the prices listed are per day.
Participants wishing to book accommodation for multiple days must submit the form separately for each day (i.e., twice for 2 days and thrice for 3 days).
Once registered make sure to contact our accomodation head for further coordination

Accomodation Head
Rehaan Aga
+91 9545513975

First name

Phone

Last Name

Institution

Street Address

City

Region/State/Province

Postal / Zip code

Basic Delegate Registration ID of 1st member

Select an item (₹)

A/C room for 2 people (contact Accomodation head (9545513975) for extra bed) - ₹2500

2BHK with kitchen for 6 people - ₹7200

2BHK without kitchen for 6 people - ₹6000

Dormitory for 1 person - ₹800

First name ,Last name of 2nd member

First name, Last name of 3rd member

First name, Last name of 5th member

First name, Last name of 6th member

First name, Last name of 4th member

I agree that all the delegates whose particulars are mentioned above have done basic delegate registration and will provide the basic registration id at the time of check in when asked

Thanks for submitting!

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Register for Accomodation in Jerry's Holiday Home St Cruz.