38th Children Nature Study cum Adventure Camp 2023
At : Kharkhola Forest Village, Kalimpong Forest Div. • Dist. Kalimpong, WB
From : December 25th to 30th, 2023
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Organised by |
 HIMALAYAN NATURE & ADVENTURE FOUNDATION |
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Saibal Mansion, 16, Hill Cart Road, Siliguri – 734001 • Dist. Darjeeling, West Bengal, India Phone: 0353-2434100 • Email: hnafsiliguri@gmail.com • Website: www.hnaf.in |
After selecting CAMPER
Name (in block letter) : NAME……………………………………………………………………………………………………………………………………………….
GENDER :
Guardian’s Name : Guardian’s Name…………………………………………………………………………………………………………………………………………………….
Present/Permanent Address : Address Here………………………………………………………………………………………………………………………………………..
District : Kolkata……………………………………………………………
State : West Bengal……………………………………………………….
Pin : 740000……………………………
Telephone No. : 00000 00000……………………………………………………………
E-mail : email@email.com…………………………………………………………………………
Date of birth : DD/MM/YYYY (Age)………………………………………………………………
No(s) of Camp Attended :
Last Year Group :
Last Year Performance Certificate :
Educational Qualifications : Qualifications text here ………………………………………………………………………………………………………………………………………..
Name and address of the School/Institution: address of the School/Institution text here ……………………………………………………………………………………………………………………
Food Habit (Veg. Or Non. Veg.) :
Extra Curricular Activities : Extra Curricular Activities………………………………………………………………………………………………………………………………………….
Hobby : Hobby ………………………………………………………………………………………………………………………………………………………………
Blood Group :
Whether taking any Medicine :
If Yes Name of Medicine : Your text here ………………………………………………………………………………………………………………………………………….
Date : DD / MM / YYYY ……………………………………………..
Signature of the applicant
DECLARATION OF GUARDIAN
I am allowing my Son/Daughter Sri/Smt. …………………………………………………………………………………………………………………………………
to attend the Nature Study/Adventure Camp. In case of any injury, accident or any unforeseen eventualities of my son/daughter, I will not hold any member or the organization wholly or partially responsible in any way.
Date : DD / MM / YYYY ……………………………………………..
Signature of the Guardian
PAYMENT DETAILS : UPI / NEFT / RTGS
Transaction ID : Transaction ID text here ……………………………………………….
DATE : DD/MM/YYYY ………………………………………
PAYMENT DETAIL UPLOAD
After selecting Guide/ Co-Guide
Name (in block letter) : NAME……………………………………………………………………………………………………………………………………………….
GENDER :
Guardian’s Name : Guardian’s Name…………………………………………………………………………………………………………………………………………………….
Present/Permanent Address : Address Here………………………………………………………………………………………………………………………………………..
District : Kolkata……………………………………………………………
State : West Bengal……………………………………………………….
Pin : 740000……………………………
Telephone No. : 00000 00000……………………………………………………………
E-mail : email@email.com…………………………………………………………………………
Date of birth : DD/MM/YYYY (Age)………………………………………………………………
No(s) of Camp Attended :
Last Year Group :
Last Year Performance Certificate :
Educational Qualifications : Qualifications text here ………………………………………………………………………………………………………………………………………..
Name and address of the School/Institution: address of the School/Institution text here ……………………………………………………………………………………………………………………
Food Habit (Veg. Or Non. Veg.) :
Extra Curricular Activities : Extra Curricular Activities………………………………………………………………………………………………………………………………………….
Hobby : Hobby ………………………………………………………………………………………………………………………………………………………………
Blood Group :
Whether member of any other organization :
If Yes Name of Organization : Your text here …………………………………………………………………………………………………………………………………………
Date : DD / MM / YYYY ……………………………………………..
Signature of the applicant
PAYMENT DETAILS : UPI / NEFT / RTGS
Transaction ID : Transaction ID text here ……………………………………………….
DATE : DD/MM/YYYY ………………………………………
PAYMENT DETAIL UPLOAD
