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First Name

Last Name

Email

Phone

Scout Group

Birthday * required

ID Card No.

Medical Info

Allergies/ Medical Conditions

Medications (if applicable)

Medical Certificates

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Emergency Contact

Emergency Contact Name

Relation with Contact

Emergency Contact No.

General Information

What are your expectations for this course

Payment of mvr 1000

Payment Slip Upload

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I hereby declare that the information given in this application form is true, correct, and valid to the best of my knowledge.

Thanks for registering.

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