Snehalaya's Yuva Nirman 17th Youth Motivational Camp. (13th March 2015)

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Registration Form

Full Name *

Reg Date *

YYYY

Qualification *

Age *

Date of Birth *

YYYY

Blood Group *

Address *

State *

Country *

Gender *

Male

Female

Mobile No. *

Contact No.

Email ID *

Languages known *

English

Hindi

Marathi

Other:

Required

Computer Knowledge *

Yes

Your Interests and Hobbies *

Have you attended this type of camp earlier? *

Yes

If yes, how many camps have you attended? Specify in number. *

Have you attended any other camp / workshop / training programme? Specify details *

Are you involved in any social activities? If yes! which type of work are you doing there, please specify *

Are you interested in participating in snehalaya's social initiative? If you are interested, how do you plan to contribute? *

College / occupation details *

Are you a *

Student

Employee

Businessman

Other:

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