Event Registration

District
(district where Event takes place)

:

BishnupurChurachandpurChandelImphal EastSenapatiTamenglongThoubalUkhrulImphal West

Event Name
(title known for the Event)

:

Event Venue
(full address of the place where Event takes place)

:

Date(s) of the Event

:

to (Format YYYY-MM-DD)

Day(s) of the Event

:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday to MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Time of the Event

:

to

Purpose
(main purpose or subject of the said Event)

:

Comment
(any important message/prior information you want to let the attendees know of regarding the said Event)

:

Event Authority Contact
(Name and phone number of the Person to be contacted for regarding the said Event)

:

Contact Name:  
Phone Number:

Email (required)

:

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Attach your EVENT Banner (upto 4 Banners allowed)

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