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Registration for Participants
Name
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Age
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Gender
*
Male
Female
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*
Email-Id
*
Profession
*
Select Profession
Student
Volunteer
Organization
Event Registration Fee
*
(Includes one T Shirt per participant)
Single Participant Rs. 300
School/College Name
*
Donate for a Cause & Participate
Sponsor Cataract Eye Surgery for a single poor senior citizen Rs.3,000
(Fee Includes Complementary registration for 3 participants along with T Shirts)
Sponsor amount for Single Eye Camp Rs.6,000
(Fee Includes Complementary registration for 6 participants along with T Shirts)
Sponsor Corneal Eye Surgery for a single poor person Rs.15,000
(Fee Includes Complementary registration for 15 participants along with T Shirts)
Others
Amount
*
None of the above
Donate for a Cause & Participate
Sponsor Cataract Eye Surgery for a single poor senior citizen Rs.3,000
(Fee Includes Complementary registration for 3 participants along with T Shirts)
Sponsor amount for Single Eye Camp Rs.6,000
(Fee Includes Complementary registration for 6 participants along with T Shirts)
Sponsor Corneal Eye Surgery for a single poor person Rs.15,000
(Fee Includes Complementary registration for 15 participants along with T Shirts)
Others
Amount
*
None of the above
SUBMIT
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