Registration Form

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Living Life Survival Camp

Registration Form PHOTO


September 23rd - 25th.

Title (Mr., Ms, Mrs.) Date: _______________

Name__________________________________ Father Name _______________________________

Company/Institute____________________________________________________________________

Address____________________________________________________________________________

______________________________________ Contact # ___________________________________

E-mail_____________________________________________________________________________

FOR PARENTS:

I allow my son/ daughter to attend living life survival camp organized by EDC- IM|Sciences.

__________________ ____________________
Parent Signature (Signature of the Applicant)

------------------------------------------------------------------------------------------------------------------------------

For office use only: Date : ___________________

Registration Fee Rs 7000/=

Received by: _______________

Signature: ________________ _________________________


Registration Officer Signature

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