Registration Form
International Women's Day Celebration, 8th March, 2017
Women: Empowered and Inspiring
Organized by Anand Pharmacy College in association with the APTI Gujarat Chapter


1) Documentary Film Making
Not more than 5 Participants per Documentary.
Maximum time should be approx 5 min.
2) Skit Performance
Not more than 6 Participants per Skit
Maximum time should be approx 10 min.
3) Extempore Speech
Each participants shall be given two minute to speak on topic picked up by him/her by draw of lots.

Registration Fee Rs. 50 per participant per event
Payable at Admin Office Anand Pharmacy College

Full Name *
Your answer
Gender *
Qualification *
Year *
Institute Name *
Your answer
Address *
Your answer
Mobile *
Your answer
Your answer
Participating Event *
If you select Documentary/ Skit, Fill up the below details. (THEMES : 1. Save a Girl Child, 2. Girl Education, 3. Gender & Policy, 4. Domestic Violence, 5. Women Rights Protection, 6. Women's Health)
Name of Documentary/ Skit,
Your answer
No. of Participant in Documentary/ Skit
Your answer
Name of All Participants in Documentary/ Skit
Your answer
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