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Fill The Details In The Form Below. All Fields Are Mandatory

Event To Be Opted :  
Package No.1 Dak Pathar
Package No.2 Himri-Kufri
Package No.3 Shivpuri
Package No.4 Snow Skiing – Manali
Package No.5 Snow Skiing – Narkanda

Participants Options for Events (Please select the Event from above mentioned events)

Please Choose Three Different Options…

1st Option (required)

2nd Option (required)

3rd Option (required)

Personal Details

Full Name

Father’s Name (required)

Wife/Husband’s Name

Gender (required)

Date of Birth (required)

Religion (required)

Category (required)

Marital Status (required)

Occupation (required)

Name of Nominee (required)

Nominee Relation (required)

Academic Qualification

Email (required)

Shoe Size

Track Suit Size


Nominee Permanent Address (required)

Nominee Phone No.(required)

Present Address (required)

Phone No (required)

Nearest Relation Name (required)

Nearest Relation’s Address (required)

Relative Phone No (required)

Sponsor’s Name

Sponsor’s Address

Sponsor’s Phone No

Food (required)

Camp Life Experience (required)

Payment Details

Payment Mode (required)

Receipt/DD/Cheque No (required)

Payment Date (required)

Amount (required)

I agree to strictly abide/adhere to the discipline and the directions of the National Adventure Club (India) during the 21st National Adventure Festival- 2015 failing which I shall be liable for expulsion. In case of accident/injury or any loss/damage, I will not hold National Adventure Club (India or its staff, wholly or partially responsible. The above entries have been made by me and are correct to the best of my knowledge and belief. I may please be allowed to take part in the above cited/ticked game(s).