Registration Form for On Stage Events

Regt. No. (for office use)

Name:_______________________________________________________________ Address:_____________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Email:____________________________Age:________Mobile:_________________ Std:_______________College: ___________________________________________ University:__________________________________State:_____________________

) for your selection of the event ü

Please mark (

A-Indival:On-Stage Events 5 . A1. Poem Recitation 5 . A2. Extempore Elocution

B-Groupl:On-Stage Events . B1. Drama 5 5 . B2. Street Play

5 . A3. Mimicry 5 . A4. Mono Act

5 . B3. Mime

No. of pages/cds:

signature of the candidate

I certify that Mr. /Mrs. …………………………… is a student of …………...………… (Year/semester……………..) of this institution. And also giving assurance that the article/material attached is his/her own creation.

Office seal

signature

(Signature and official seal of principal/ head of the department/ dean of the faculty)

Attach the filled form as the first page of your entry. g Use the single registration form for all your entries and mark it on. g Last date g Please

of submission 15th September

enclose name of team members for Group events.

Sign of the receiver: Date: