TOMMY MIAH'S PITHA COMPETITION 2024

APPLICATION FORM

Region of Competition

Full Name

Father's Name

Mother's Name

Gender

Date of birth

Mailing Address

Phone/Mobile no

Emergency Contact name

Phone no

Nationality

NAME & DESCRIPTION OF PRESENTED PITHA

DECLATATION

We hereby declare that the information given in this application is exact and complete. We acknowledge having read and understood the document as well as all the Terms and Conditions. If at any stage it is found that we do not satisfy the contest criteria of the information furnished by us in these application is incorrect, our application for contest will straight cancelled. In the event of securing participation, We agree to abide by all relevant Rules and Regulations of the Institute.

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