Registration Form

Team information

Name of the University / Educational Institute / Rotaract Club*
Team name*
Number of team members*
Country*
Team member 1 (Captain)
Full Name*
Age*
Email Address*
Mobile Number*
Team member 2
Full Name*
Age*
Email Address*
Mobile Number*
Team member 3
Full Name*
Age*
Email Address*
Mobile Number*
Team member 4
Full Name**
Age**
Email Address**
Mobile Number**
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These fields are required *
These fields are required if the team consists of 4 members **
Your registration details have been submitted. Thank you!