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Additional Entry Form of the Next Online Entry form:

Give the correct  Informations.

Fill this Form only for competitions.

NAME          :           …………………………………………………………….

DATE OF BIRTH        :           …………………………………………………………….

FATHER’S NAME     :           ……………………………………………………………..

ADDRESS                   :           ……………………………………………………………..

                                                            ……………………………………………………………..

PHONE NUMBER     :           …………………………… MOBILE…………………......

E-MAIL                      :            ……………………………………………………………..

SCHOOL / COLLEGE:           ……………………………………………………………..

AMOUNT PAID         :           …………………………………………………………….. 

CATEGORY               :           ……………………………………………………………...

DATE                          :           ………………………….

Full Name                 : ……………………

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              CONDUCTED BY: 

   Jaijosh Rock & Rock 

Music & Dance

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