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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 bengaluru@navayuva.org
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 *
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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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