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Bundelkhand Yatra
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TARAgram Yatra 2025: Yatri Registration Form
Personal Information
Professional Information
Participation Preferences
Motivation & Expectations
Emergency Contact Details
Payment Details
Section 1: Personal Information
Full Name
*
Email Address
*
Gender
*
Select your gender
Male
Female
Non-binary
Prefer not to say
Age
*
Mobile Number
*
Nationality
*
Organization / Institution Name
*
Designation / Role
*
Address
Address Line
*
Country
*
Select Country
State
*
Select State
City
Select City
PIN / ZIP Code
*
Next
Section 2: Professional Profile
Sector / Domain of Work
*
Select your sector
Civil Society / NGO
Government
Academia / Research
CSR / ESG / Corporate Sector
Start-up / Enterprise
Media / Storytelling
Other
Years of Experience
*
Brief Bio (max 100 words)
*
Maximum 100 words
LinkedIn Profile (optional)
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Section 3: Participation Preferences
Food Preferences
*
Select your food preference
Vegetarian
Vegan
No preference
Allergies (max 100 words)
Maximum 100 words
Do you have any accessibility requirements or health concerns?
Yes
No
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Section 4: Motivation & Expectations
Why do you want to participate in TARAgram Yatra? (max 150 words)
*
Maximum 150 words
Have you attended TARAgram Yatra before?
*
Yes
No
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Section 5: Emergency Contact Details
Name
*
Relationship
*
Mobile Number
*
Email ID
*
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