Audiences

Audiences



#WalkToEverest

This event is not just limited to exclusive members. General audience can also be part of the historic event by registering themselves below. So hurry up get your seats reserved for this once in a lifetime event.








Registration Form

Personal Details

Name
Age
Email
Contact Number
Alt. Contact Number
Address
City State

Measurements (In Metric System)


Health Details

Present/Past and Illness/Defect of significance:
Injuries/Operations undergone and presend condition?

Are You Suffering From?

An infectious disorder
Hypertension
Bronchial Asthma
Epilepsy
Heart Disease
Fracture in last 2 years
Diabetes Mellitus
Altitude Problem
Allergy? If Any?

Do you have any past trekking experiences?
Please Upload an image:
I hereby declare that I have answered all the questions about my qualifications/achievements and personal health as fully as possible and that the information given is true to the best of my knowledge and belief.
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