Application Form for AGKJ1

आओ गांव को जाने!
APPLICATION FORM

October 16-22, 2017

GROUND RULES

1. The workshop is open for kids between age 12 to 17 or between Grade 7 to 12.
2. The participants are required to attend the workshop for its entire duration.
3. The participants are required to submit a non-refundable deposit of Rs 3,000 per participant in order confirm their participation in the workshop. Total workshop charges are Rs 6,000 per participant.

* Indicates required field

Name *

First

Last

Email *

Mobile Number *

Date of Birth (DD/MM/YYYY) *

GENDER *

Male Female

Name of the School and City *

In which grade do you study? *

Upload your latest Photograph *

Max file size: 20MB

How did you come to know about us (In case of 'a friend', kindly mention the name)? *

Please share five interesting qualities/weaknesses that you have. *

Why do you wish to become a part of 'आओ गांव को जाने!' workshop? *

Anything else you would like to share about yourself? *

I have read the ground rules for the retreat, I promise to strictly follow the same during the Retreat. *

Yes

Submit

आओ गांव को जाने!APPLICATION FORM

GROUND RULES

आओ गांव को जाने!
APPLICATION FORM