City Montessori School [CMS], Lucknow, India



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Registration Form

* Required Fields

Registration Form

Name of the College/School : *	A value is required.
Mailing Addres : *	A value is required.

No. of Participants
Name of the Principal/Head
City
Pin/Zip Code
State
Country
Phone No. (with ISD/STD code) : *	A value is required.Invalid format.
Fax No : (with ISD/STD code) *	A value is required.Invalid format.
Email : *	A value is required.Invalid format.

Details of Partiipation Teams
SNo	Name of the Participation (In Block letters) [As appears in PASSPORT]	Class	Date of birth (dd\mm\yy)	Contact No.
Junior Only
1.
2.
3.
Seniors Only
1.
2.
3.

Team Leader Details

Team Leader Name : * (one only)	Please select an item.
Personal contact number of the Team Leaders
Resi. Phone No. (with ISD/STD code) :
Office Phone No. (with ISD/STD code) :
Mobile No.: *	A value is required.Invalid format.
Fax No (with ISD/STD code) :
Email : *	A value is required.Invalid format.

Principal details

Principal's Name :	Please select an item.
Principal's contact number
Resi. Phone No. (with ISD/STD code) :
Office Phone No. (with ISD/STD code) :
Mobile No. (with ISD/STD code) : *	A value is required.Invalid format.
Fax No : (with ISD/STD code)
Email : *	A value is required.Invalid format.

Principal accompanying the tream: Please select an item.

Please specify, whether interested in sight-seeing trip Please select an item.

Note:

There is NO REGISTRATION FEE for this event.

Last date for sending the registration form is 16th August, 2012

Please keep a copy for your records.

No form will be accepted without principal's details.

For the purpose of convenience, kindly ensure that the names of the participants are correctly spelt out in the registration form sent to us.