Verbattle

Institution

Page 1 · institution details, team and head's consent

Application No.—

Institution

Name of the Institution *

Head of the InstitutionMs. / Mr.

Affiliation

Medium of Education

Courses From

Courses To

Institution Address *

Pin Code *

Telephone No(s) *6–12 digits, with STD code

Institution Email *

Institution Website

Contact Person at the Institution

Team

Participant 1—Class: —

Participant 2—Class: —

Complete the participant details in the next two steps; the team names fill in here automatically.

Consent & Declaration

I herewith, as the head of the Institution / authorised official, give consent for the above mentioned students to participate in the championship as a team and also assure that the Institution and the participants would abide by the rules and conditions* of the championship.In case of non-participation by the Institution team or either of the participants after registration, we understand that we would be denied any other option in the championship, and the entry fee paid would be forfeited. The facts and information given in this registration form along with the information furnished by the participants have been verified by me and I assure you that the same are true.*Please refer the rules & conditions document provided with the form.

Signed Consent of the Principal / HeadSignature with institution seal · PDF / JPG / PNG, max 2 MB

Participant 1

Page 2 · photograph, details and declaration

Participant No 1

Photograph of Participant 1JPG / PNG, max 2 MB

Institution ID CardCarry the original to the event

Name *

Date of Birth *

Age

Gender *

Course & Year *

Name of the Institution *

Mother Tongue

Spoken Languages

Father's Name

Occupation

Mother's Name

Occupation

Residence Address *

District / City *

Pin Code *

Res. Telephone No.With STD code

Mobile / Emergency No. *10 digits

Email

Other Areas of Interest0/200

Declaration

I have herewith, carefully read the Terms & Conditions of the Verbattle Senior Debate Championship and have voluntarily registered to the Competition as a team member. I assure that I would abide by these terms and conditions as mentioned in the official website, and amended from time to time.In case of non-participation by the team or either of the participants after registration, I understand that the team and team-member would be denied any other option in the Competition, and the entry fee paid would be forfeited. I assure you that the facts and information given in this registration form are true. If all or any of the information is found to be untrue or is in violation to the requirements of the event, I agree that I will be disqualified without a refund of registration fee.I, Participant 1, agree to this declaration.

Participant 2

Page 3 · photograph, details and declaration

Participant No 2

Photograph of Participant 2JPG / PNG, max 2 MB

Institution ID CardCarry the original to the event

Name *

Date of Birth *

Age

Gender *

Course & Year *

Name of the Institution *

Mother Tongue

Spoken Languages

Father's Name

Occupation

Mother's Name

Occupation

Residence Address *

District / City *

Pin Code *

Res. Telephone No.With STD code

Mobile / Emergency No. *10 digits

Email

Other Areas of Interest0/200

Declaration

I have herewith, carefully read the Terms & Conditions of the Verbattle Senior Debate Championship and have voluntarily registered to the Competition as a team member. I assure that I would abide by these terms and conditions as mentioned in the official website, and amended from time to time.In case of non-participation by the team or either of the participants after registration, I understand that the team and team-member would be denied any other option in the Competition, and the entry fee paid would be forfeited. I assure you that the facts and information given in this registration form are true. If all or any of the information is found to be untrue or is in violation to the requirements of the event, I agree that I will be disqualified without a refund of registration fee.I, Participant 2, agree to this declaration.

Entry Fee

Page 4 · payment details and proof

Review & Submit

Check your details and accept the rules

Institution

Name: —
Contact: —
Consent: Pending

Participant 1

Details: —
Declaration: Pending

Participant 2

Details: —
Declaration: Pending

Entry Fee

Payment: —
Documents: 0 of 6 attached

Verbattle Rules and Regulations

I have read the Verbattle Rules and Regulations (to be read before submitting the application) and agree that the team, the participants and the institution will abide by them. Read rules

Already have a URC?

Institution

Participant 1

Participant 2

Entry Fee