JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Delegate Registration form
Peace Symposium 2015
A Project by Kafka Welfare Organization and Umeed Jawan
Before applying like these pages
https://www.facebook.com/pages/Kafka-Development-Organization/188881007789188?ref=bookmarks
https://www.facebook.com/pages/Lets-Ring-the-Peace-Beat/1042799935730124?ref=bookmarks
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Example: Umair Rana
Your answer
Age
*
Example: 24
Your answer
NIC Number
*
Your answer
Contact Number
*
write correct number
Your answer
Email id
*
Make sure your email spell correct
Your answer
Institute/Organization
*
Example: GCU Lahore or Kafka Welfare Organiztaion
Your answer
Occupation/Profession
*
Example: Student/Activist etc
Your answer
FB Link
Example:
www.faebook.com/umair732
Your answer
Twitter Link
Example:
www.twitter.com/ranaumairasif
Your answer
Why you want to attend?
*
Max 50 words
Your answer
What is your view on "Counter Violence and Extremism" to promote Peace
*
Your answer
Paste link of your Picture
You can upload your pic at Picasa to share link
Your answer
Your Current Postal Address
*
Your answer
Current city
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy