R
REGISTRATION PORTAL
✓
Secure submission
Protected and confidential
APPLICATION FORM
Personal details
*
Required
Full name
*
Address
*
Contact number
*
+91
Emergency contact
*
+91
Blood group
*
Select blood group
A+
A-
B+
B-
AB+
AB-
O+
O-
Age
*
If any medical issue Please mention
(optional)
Race Category
Select category
3 KM Boys & Girls Under 12 Years
5 KM Boys & Girls Under 18 Years
5 KM Women above 18 years
10 KM Men above 18 years
Aadhaar number
*
Encrypted before database storage
Registration fee
*
₹
I confirm that the details provided above are accurate and I consent to their use for registration purposes.
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