Trekking to Makkalidurga, Doddaballapur
Date: Sun, 30th December, 2018
Please carry valid ID proofs on the day of the Trek
Last date for Registration: 25th Dec
Limited Seats: 30 , First Come First Serve basis based on payment received
A registration is valid ONLY on payment of the trekking fees
Trekker age >= 10

Name *
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Email *
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Batch *
Pls mention the year of completion: For eg: PGP 96, EGMP'08.
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Contact no *
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Number of Trekkers
Eg. 3
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Details of Trekkers *
Mention details in this format: Varun, Male, 16yrs; Rohini,Female, 14yrs
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Medical history & condition *
(Please specify any ailments/illnesses/injuries, any allergies and any medication that you are taking)
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Emergency Contact Details *
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Have you paid the registration fees? *
Payment link: https://iimbaa.org/Campaign/iimbpayments?f=iimb (If yes, mention the total amount paid)
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Disclaimer: *
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