Pre-Registration for SSA 2017
Event Timing: November 3-5th 2017
Event Address: Hotel Jehan Numa Palace, Bhopal
Contact us at gsbhopalhub@gmail.com
For detailed Itinerary of the SSA 2017 please visit: http://gsbhopal.org/ssa2017
Email address *
Name *
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Surname *
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Gender *
Please Enter your date of birth *
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Which hub do you belong to? *
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Share your globalshapers.org profile link *
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Preferred email id *
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Your contact Number *
This number will be used to create WhatsApp group for SSA 2017
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Country of Residence *
Do you need a visa to travel to India *
Passport / Aadhaar Card No
Shapers from India can put in your Aadhaar Number.
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Please enter your passport date of issue
(This field is mandatory for people travelling from outside India and need visa)
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Please enter your passport date of expiry
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Accommodation Preference *
Why do you want to attend SSA 2017? *
Please give in your answer in not more than 100 words
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I understand that I have to pay for my accommodation and travel for SSA 2017 *
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A copy of your responses will be emailed to the address you provided.
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