Registration

Camp Registration Form

Click here to Download Form

OR

Fill The Details In The Form Below. All Fields Marked With * Are Mandatory

Profile Image 300px X 400px (width X height)
Signature Image 150px X 50px (width X height)
Receipt File Image 500px X 500px (width X height)
* All the Image files should be in jpeg of jpg format

Select Camp :-

Select Camp Year :-

Personal Details

Select Image File *

Full Name *

Father's Name *

Gender *

Male

Female

Date of Birth

Age

Marital Status *

Single

Married

Occupation *

Name of Nominee *

Nominee Relation *

Nominee Phone No *

Address *

Correspondance Address * same as Present Address

Mobile No *

Alternate Phone No *

Email *

Food *

Payment Details

Payment Mode *

Receipt/DD/Cheque No *

Payment Date *

Amount *

Select Receipt File *

Signature *

I agree to strictly abide/adhere to the discipline and the directions of the National Adventure Club (India) during the National Adventure Festival- 2021 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).