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Civic Changemakers Programme - Application Form

Fill this form to apply for the Civic Changemakers Programme (CCP) by Bengaluru Nava Yuva (BNY).
For any queries, email us at
For any assistance, you could also speak to Santosh on +91 88610 65211
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Email *
Full Name *
Mobile Number *
Date of Birth *
College/Institution *
Course/Programme/Year *
The Ward Name & Number in which you reside (If you are not aware, now's a good time to find out!) *
As the Civic Leader, what would you do to ensure that every eligible student of your college registers as a voter?
One movie character that describes you as a person and why? *
What is a quality of yours that your friends really admire? *
What drives you to be a part of Bengaluru's Local Governance? *
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