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..
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Member 1
Name (First and Last Name) *
Your answer
Age *
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Gender *
Mobile Number *
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Email Id *
Your answer
College/ Institute *
Your answer
Location *
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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 *
Required
A copy of your responses will be emailed to the address you provided.
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