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Full Name*
Age*(in years)
Residential Address*
Name of the school/college*
Contacts : :
Resid.Tel.number* Mobile number
Email Id.*
Do you own a bicycle YES   NO
If you are below 20 years of age or a school student this information is enough. You can submit the information after reading the conditions.
If your age category is above 20 years of age, the following fields are essential to be duly filled.
Official Address
Official Tel. number
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Terms & Conditions :
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» Please note that feilds with * mark are necessary to be filled.