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Young leaders program Registration form
IIML's Manfest-Varchasva 2018 YLP form
Email address *
Name of the Participant *
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College Name *
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Contact Number *
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Alternate contact number
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Address *
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Mode of Payment (Cash option is only available for Lucknow colleges with designated SPOCs/ Campus ambassadors) *
Date of transaction *
Transaction ID (Put Name of Spoc/ Campus ambassador in case of Cash deposit with them) *
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Requirement for accomodation *
I hereby declare that, I have fully read and understood all the terms and conditions mentioned on the website and confirm to abide by them. *
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