Educational Tour Application
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Program fees
including course fee, accommodation, meal & travel.
Select Category *
Before you begin, please select a category.
Name *
Date of Birth *
MM
/
DD
/
YYYY
Blood Group *
Nationality *
Postal Address *
Address of correspondence *
E-mail *
This will serve as your Unique Registration ID
Phone Number *
Passport Number
Required if Foreigner/Student visa Category
Academic Qualification *
Professional Qualification *
Why do you want to attend the educational tour? (Around 60 words) *
Declaration/undertaking from the students *
1. I, hereby, declare that, the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records. 2. I, hereby also declare that, I shall be solely responsible for my involvement in any kind of undesirable/ in-disciplinary activities during the tour program, and shall be liable for punishment as per the law of the land. I, further understand that, ‘The Origin’ shall in no way provide any support to me and will not be held responsible for my any such action. 3. I, also declare that, I am not suffering from any serious/contagious ailment and/or any psychiatric/psychological disorder.
Required
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