FOR
FOREIGN
PARTICIPANTS ONLY
Fields marked with asterisk (
*
) need to be filled. All fields are mandatory.
Please fill this travel schedule form and send us by 15th July 2013.
Name of the College/School : *
A value is required.
Invalid format.
Mailing Addres : *
A value is required.
Name of the Principal
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.
PASSPORT DETAILS [In BLOCK letters]
SNo
Name of the Participation &
Passport Number
Date of Birth
Date of
Place of
Issue
Gender
Issue
Expiry
1.
Select
Male
Female
2.
Select
Male
Female
3.
Select
Male
Female
4.
Select
Male
Female
5.
Select
Male
Female
6.
Select
Male
Female
7.
Select
Male
Female
8.
Select
Male
Female
Travel
Details
Arrival Details
Arrival at Delhi/Other
Name of City :
Date:
(dd/mm/yy)
Time :
Name of Flight :
Flight No. :
Arrival at Lucknow
Flight / Train No. :
Date :
(dd/mm/yy)
Time :
Departure Details
Departur from Lucknow
Date:
(dd/mm/yy)
Time :
Name of Flight / Train :
Flight / Train No. :
Place :
Please check that you have entered all relevant data before clicking SUBMIT.
