Form for AGKJ-SIS Bikaner

आओ गांव को जाने!
PARTICIPANTS' DETAILS

May 12-18, 2017

GROUND RULES

1. The participants are required to attend the workshop for its entire duration.
2. Smoking or Drinking Alcohol is strictly prohibited in Deer Park Campus. If anyone is found doing the same, he/she shall be dismissed from the workshop then and there.

* Indicates required field

Name *

First

Last

Email *

Age (in Years) *

Date of Birth (DD/MM/YYYY) *

GENDER *

Male Female

In which grade do you study? *

Upload your latest Photograph *

Max file size: 20MB

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 workshop, I promise to strictly follow the same. *

Yes

Submit

आओ गांव को जाने!PARTICIPANTS' DETAILS

GROUND RULES

आओ गांव को जाने!
PARTICIPANTS' DETAILS