• Registration Form 2017 | 13th Hero MTB Himalaya

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  • Registration Type*on the basis of nationality/sponsors. Please select accordingly.
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  • Participation Category*For racer
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  • PERSONAL DETAILS
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  • Full Name*Please enter your name as on your ID.
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  • Gender*to order
    Male
    Female
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  • Nationality*select your country
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  • Date of Birth*DD-MM-YYYY
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  • Age*As on September 28th, 2017
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  • Profession*what do you do?
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  • Photograph*upload your recent passport size picture viz.- DL, Voter ID, UIID, Passport, PAN etcBrowse your file
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    • CONTACT DETAILS
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    • Country*select your country
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    • State/UT/Province*
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    • City*
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    • House/Street number or locality*
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    • Your Email*A valid email address. This email will be used for all future communications.
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    • Mobile Number*mobile number with country code
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    • MEDICAL AND EMERGENCY INFORMATION
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    • Blood Group*
      A+
      B+
      AB+
      O+
      A-
      B-
      AB-
      O-
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    • Emergency Contact Person*full name
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    • Relation*relation with emergency contact person
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    • Emergency Contact Number*emergency contact person's phone number
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    • Any Major Allergies*mention if any
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    • OTHER DETAILS
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    • Jersey Size*choose your Jersey size
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    • ID proof*Passport / Driving License / Social security CardBrowse your file
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      • Are you a UCI recognized rider?*
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      • PAYMENTS AND RACE FEE
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      • Please check the race packages here , and complete the paments before August 31st, 2017.
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      • Captchacopy the words
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      Contact Info

       

      HASTPA (Himalayan Adventure & Tourism Promotion Association)

      Phone:    0091 177 2659797
      Email:     mtbhimalaya@hastpa.org
      Address: A5, MC Parking, Cart Road, Shimla, HP 171001, INDIA

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