REGISTRATION

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Name:

Father name:

Date of Birth:

Gender Male Female

Address:

Pin:

City:

Mobile No.:

State:

Email:

Academic Qualification:

Associates with Political Party/Social Organization/NGO:

Registration Fees

  • Students 500

  • Youth-Non-Student 800

  • Other 1000

*Including Welcome Kit, Badge, Publication, 3 Lunch with Participation Certificate.

Registration Fees (With Accomodation)

  • Students 1000

  • Youth-Non-Student 1500

  • Other 1800

*Including Welcome Kit, Badge, Publication, 3 Lunch, 3 Dinner, 3 Night share basic Accommodation with Participation Certificate.

Date:

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Note :- DD and Cheque payable for "Media Foundation".

Non Refundable