Connect and Change - Social Impact Challenge- Registration Form
The challenge will give opportunities to people to change the world by targeting real challenges and issues faced by our communities, by exercising and developing their entrepreneurial abilities.
Email address *
Team Name *
Give your team a name and identity..
Your answer
Member 1
Name (First and Last Name) *
Your answer
Age *
Your answer
Gender *
Mobile Number *
Your answer
Email Id *
Your answer
College/ Institute *
Your answer
Location *
Your answer
Member 2
Name (First and Last) *
Your answer
Email ID *
Your answer
I am Interested in participating in the challenge. I would like to be contacted by the organizers for further information *
A copy of your responses will be emailed to the address you provided.
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