Registration Form

Front Side

Back Side

Registrations for the Sponsored Emergency Cards for Sinhagad Bike And Hike 2018 have closed.Every card will cost Rs 50/- Inclusive of GST
Amount Transfer information will be provided after registration. PAYTM | NETBANKING | CASH | Others.

Card Design is subject to change without prior intimation to the participants.

First Name

Last Name

Age

Blood Group

Address Line 1

Address Line 2

Contact Number

Emergency Contact Name 1

Emergency Number 1

Emergency Contact Name 2

Emergency Number 2

Medical History

Known Allergies

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