National Rock Climbing Camp National Rock Climbing Camp
National Rock Climbing Camp National Rock Climbing Camp
National Rock Climbing Camp National Rock Climbing Camp
1. Name of Visiting
Subject Expert
2. Father’s Name
3. Permanent Address
4. Correspondence
Address
5. Date of Birth
7. E-mail Address:
16. DECLARATION:-
I hereby declare that all the statements/informations furnished in the application are true and complete to the best of my
knowledge and belief.
I have read and understood the instructions. I understand that action can be taken against me if I breach any condition
or instruction of the SVIM,Mount Abu/PDUMC JUNAGADH.
I will be held responsible for any wrong information given in the application form.
I agree to abide by /adhere to the discipline of the SVIM,Mount Abu/PDUMC JUNAGADH. during the duty failing I am
liable to expulsion. In case of accident/injury I will not hold SVIM,Mount Abu/PDUMC Junagadh partially or wholly
responsible. I have read all the terms and conditions of the Institute and have fully understood the meaning and
significance of the same.
17. PLACE :-
18. Date:
D D M M Y Y Y Y
Signature of Applicant:…………………………….
Name:………………………………