Booking Form

Plans & Pricing

Choose the right package for you

Individual Person (Single Bed)

30,000/-

per month

Double Sharing (Per Person)

25,000/-

per month

Triple Sharing (Per Person)

20,000/-

per month

Couple Room (Husband & Wife)

45,000/-

per month

IMPORTANT NOTE: RIGHT TO ADMISSION IS RESERVED BY THE MANAGEMENT OF PEACE SENIOR HOME. MERE SUBMISSION OF THIS FORM DOESN’T GUARANTEE ADMISSION OF THE SENIOR CITIZEN. UPON RECEIVING THE SUBMITTED FORM SOMEONE FROM OUR TEAM WILL GET IN TOUCH WITH YOU REGARDING YOUR INTEREST IN OUR SERVICE.

KINDLY GO THROUGH OUR TERMS AND CONDITIONS AND THE SERVICE AGREEMENT FOR COMPLETE DETAILS ABOUT OUR SERVICE QUALITY AND RULES.

Mother/Father/uncle etc

Choose the Date you wish to get the Senior Citizen Admitted on

Select the relevant Occupancy type

Medical History of the Elder/s

Scroll to top