JIGYASA

The Miranda House Quiz Society

The forum for those with a thirst for
knowledge
Registration Form
1. Your Details

Name:

Father's Name:

Date of Birth:

Course Name:

Address:
Pin Code:

Telephone:

Mobile:

E-mail:

Do you speak any languages other than English or Hindi ? (State whether fluent, conversational or rusty)

2. Other Societies / Interest

Please list any other college society you have joined besides Quiz society:

What are your other areas of interest ?

3. Experience

Please list any Quiz competition you have participated before :

Have you any specialist skills you would wish to list?

Signature Date