YC Online Registration

 

Annual Youth Conference
Asia Plateau, Panchgani.
June 1 to 8, 2018

You can now register for the Annual Youth Conference using the online form below. Those who want to fill the hard copy of the form please download the PDF form on the right and fill it and bring it to the Conference Centre in Panchgani on 1st June. Please note missing or incorrect information in the form below may result in cancellation of your registration. Due to the inadequacies of our conference centre, we are not equipped to host friends with disabilities.

Basic

*Name
Gender
Male Female
*Address
*City
*State
*Postal Pincode
Aadhar Number
*Mobile Number
*Email
Date of Birth
(dd/mm/yy)
Profession / Education
Institution
Health Problem
(If any)
Allergic to
Blood Group

In case of an emergency, who should be informed?

Name
Mobile Number

How did you come to know about this conference?

Have you attended this conference before?

Yes No
If yes, what brings you again
Captcha
* Enter Captcha Code