Registration Form for Balvaidnyanik Camp
The Greater Bombay Science Teachers' Association organizing Two days ( 2 day+ 1 Night) Science Enritchment Camp for medal winner students of Dr Homi Bhabha Balvaidnyanik Competition 2018-19 at Homi Bhabha Center for Science Education, V.N. Purav Road, Near Anushakti Nagar, Mankhurd, Mumbai-400088.
Dates of Camp :- 12th & 13th April 2019 for 6th Standard Students And
15th & 16th April 2019 for 9th Standard Students.

Due to Limited seats preferences are given as below.
Registration Dates :-
1. For Gold Medal Winner Students only from Date : 11th March 2019 to 13th March 2019.
2. For Silver Medal Winner Students only from Date : 14th March 2019 to 15th March 2019.
3. For Bronze Medal Winner Students only from Date: 16th March 2019 to 17th March 2019

Students should fill his Registration form as per above preference. After filling required 100 seats ,registration will be closed.
Registration closed for 9th std. due to completion of required seats.
* How to pay Entry Fee of Camp :-
Entry Fee :- Rs. 1200
Mode of Payment :- Through Online Transaction / NEFT / RTGS
Bank Details :-
Bank Name : - State Bank Of India
Name Of Beneficiary :- The Greater Bombay Science Teachers' Association
Current Account Number :- 36494310194
Branch :- Malad (W), S. V. Road ,Mumbai. Pin code - 400064
IFSC Code :- SBIN0000552

Fill the below form carefully. Keep ready your Transaction ID number. After Confirmation,all details of camp will be send on your registered Email ID here.

Email address *
Students Full Name In Capital Letters *
Medal Won *
Select medal which you won
Gender *
Standard *
Medium *
Region *
District *
School Name *
Residential Full Address with pincode *
Mobile ( WhatsApp) Number *
Alternative Mobile Number if any
Entry Fee Transferred Transaction ID / Reference No. *
Make your payment through Online mode/ Transaction / NEFT / RTGS ( Using bank details given above *) and write here transaction details which you got.
Date of Payment *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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