REGISTRATION FORM

RAINBOW OF DESIRE

(Inclusive of food and accommodation for 5 days – Participants should reach a day before the workshop begins)

Name*

Email*

Mobile Number*

Age*

Sex*

Designation

Travel Details

Date of Arrival

Time of Arrival

Date of Departure

Time of Departure

Passport Number

Representative organisation*

Mode of payment*

Amount

Id number for Indian nationals

Id proof for Indian nationals No file chosen

42 A, Thakurhat Road
Badu, West Bengal, India
Kolkata - 700128

Office: (033) 2526-4540

Administration : +91 - 9433025692

Email : janasanskriti@gmail.com