Organizing
MIND CHALLENEGE COMPETITION
Registration Form
(JUNE 27,2014)
Fields marked with
*
are mandatory
Name
*
(as per birth certificate)
:
(First Name)
(Middle Name)
(Last Name)
Father's name
*
:
Date of Birth
*
(yyyy-mm-dd)
:
School
name
:
Board
:
Standard
:
10%
12%
Stream
:
Email id:
*
:
Mobile No:
*
:
Mobile No:
*
(Another)
Home Address
*
:
:
Registering Event .
*
:
Blind Coding
LAN Gaming