Educational Tour Application
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* Required
Program fees
Select Category
*
Before you begin, please select a category.
Foreign
Foreign (Student Visa)
SAARC
Indian
Socially Backward
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Blood Group
*
Your answer
Nationality
*
Your answer
Postal Address
*
Your answer
Address of correspondence
*
Your answer
E-mail
*
This will serve as your Unique Registration ID
Your answer
Phone Number
*
Your answer
Passport Number
Required if Foreigner/Student visa Category
Your answer
Academic Qualification
*
Your answer
Professional Qualification
*
Your answer
Why do you want to attend the educational tour? (Around 60 words)
*
Your answer
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.
I Agree
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