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Participant Information
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Which expedition or Trek are you booking for?
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Mt. De Tibba
Mt. Gangotri III
Other:
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Name
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Your answer
Email
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Your answer
Gender
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Male
Female
Other:
Date of Birth
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MM
/
DD
/
YYYY
Please share your adventure profile with us (Include the treks or expeditions along with any courses. Be as elaborate as possible)(optional)
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Please share any medical condition that you have (optional)
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Permanent Address (The address for which you can produce a photo ID proof)(Optional)
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Mobile Number
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Alternate Contact (used in case of emergency)
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Your answer
Please share any other skill/hobby that you have which may be useful on the expedition(optional)
Doctor
Certification on First Aid (With CPR)
Photography
Videography
Cooking
Blogging
Mountaineering
Other:
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