Maxtalent Global Sports Mumbai Tour 2016 Registration Form www.maxtalentglobalsports.com www.maxtalentglobal.org

1. MUMBAI TOUR REGISTRATION FORM
1. Name; _________________________________________
Surname_______________________________________
Mobile No; _____________________________________
Res. Address _______________________________________________________
2. Sex; Male / Female Date of Birth; ___________________ Age ____________
3. Travelling Documents:
a) Passport No: ______________ Passport Expiry Date:_____________
Visa Expiry Date: ____________________
4. Meal Preference: Hindu VegMeal/ Halal Non-Veg Meal:_____________________
5. Name of Institution where studying;____________________________________
6. Grade in which Studying; _____________________________________________
7. Uniform Size : XS/S/M/L/XL/XXL/XXXL ____________
8. Medical History Declaration:
a. Time of confirming Tour Joining: Any Issues concerning Medical
matters:_____________________________________________________
b. Blood group _________________________________
c. Any Medication Administrated:_____________________________________
7. Parents/ Guardians contact details
a. Full Name of Father/Mother________________________________________
b.Contact Numbers. (M)___________________ (O) ______________________
c. Email id ________________________________________________________
d.Full Name of Mother/Guardian_____________________________________
e.Contact Numbers. (M)___________________ (O) ______________________
f. Email id ________________________________________________________
DISCLAIMER.
(NO LIABILITY / DAMAGE/ LOSS CLAIM(S) DECLARATION)
I / We the undersigned, parent/guardian declarethat we will notmake any
compensatory claims,legal procedureor involvethe Law action,againstMAXTALENT
GLOBAL SPORTS (MGS) group or any of itUnit management team members or any of
its units/ divisions/ subsidiary projects/supportteam /Transporters/ Playingvenue/On
tour and its organizer for any kind of damage, Injuries,Loss to life,property or any
incidentarisingdueto direct/indirect-negligence/non-safety or controversy issues.
Date & Time _______________________________________________________
Name of Person Signing ______________________________________________
Signature ________________________________________________________ _
Kindly attach
1. Passport Copy
2. No Objection Certificate addressed to Maxtalent Global Sports
Emergency Contact No: 1._____________________ 2. ___________________
TOUR PAYMENT STRUCTURE: TOTAL AED 5950/-per head
SR NO Amount (AED)
per child
DATED REMARK
1 1500 20/25.09.16 Non-refundable registration Fees
2 2200 30.10.16 PDC Cheque
3 2250 30.11.16 PDC Cheque