| Registration Number |
1679870214 |
| Name
(Primary) |
 |
| Family Member Name 1 |
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| Family Member Name 2 |
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| Family Member Name 3 |
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| Family Member Name 4 |
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| Family Member Name 5 |
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| Family Member Name 6 |
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| Family Member Joining From India 1 |
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| Family Member Joining From India 2 |
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| Home Phone : *(include country code) |
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| Cell Phone : (include country code) |
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| Address 1: |
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| Address 2: |
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| Address 3: |
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| City : |
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| State : |
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| Zipcode / Pincode : |
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| Country : |
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| Age |
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| Email Address |
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| Cell Phone in India (if available) |
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| Emergency Contact Person in Country of Origin : |
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| Emergency Contact Person's Phone number in Country of
Origin : *(include country code) |
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| Famly Doctor's Name |
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| Family Doctor's Phone Number :(include country
code) |
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| Emergeny Contact Person in India (if available) |
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| Emergeny Contact Person's Phone Number in India (if
available) |
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| Arrival Date (to Delhi) |
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| Departure Date (From Delhi) |
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| Arrival date (at Haridwar) |
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| Departure date (from Haridwar) |
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Choice of accommodation:
Shantikunj : It is not
possible to provide accommodation in Shantikunj during the Event,
please DO NOT insist |
1. NRI Tent (Shantikunj will arrange your stay in the tent with basic facility near the event. Delegates to pay nominal service fee to the tent provider )
2. Ashram (Shantikunj will arrange your stay in the nearby Ashrams. Delegates to pay nominal service fee to Ashram management)
3. Hotel ( Shantikunj will provide a list of hotels and negotiated rates. The hotel reservation and its payment is the sole responsibility of the delegate.)
4. I will make my own arrangements
|
Transportation
Payment for transportation is the
sole responsibility of hte Delegate. |
1. Tranportation assistance required between Delhi and Haridwar
2. I don't need assistance
|
Mode of arrival to Delhi
(if transporation is
needed to Haridwar) |
1. By Air
2. By Train
3. Other
|
Where to drop off (From Haridwar)
(if
transporation is needed to Delhi) |
1. Airport
2. Train Station
3. Other
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