Participant 1

Name* Date of Birth* Gender* Select Male Female Others State* Select State Uttar Pradesh Delhi Haryana Punjab West Bengal Jharkhand Bihar Uttarakhand Chandigarh City* Select City Gorakhpur Varanasi Paryagraj Kanpur Aligarh Hissar Meerut Lucknow Delhi Rohtak Ludhiana Jalandhar Siliguri Ranchi Bhagalpur Muzaffarpur Patna Chandigarh                     Amritsar                     Bareilly                     Agra                     Dehradun University* College* Course* Select UG PG Subject* Phone* Email* Social Media Profile (Ig/Fb/X) Collage I Card (JPEG) Maximum file size 5 MB only* Language* Select Hindi English

Participant 2

Name* Date of Birth* Gender* Select Male Female Others State* Select State Uttar Pradesh Delhi Haryana Punjab West Bengal Jharkhand Bihar Uttarakhand Chandigarh City* Select City Gorakhpur Varanasi Paryagraj Kanpur Aligarh Meerut Lucknow Delhi Rohtak Hissar Ludhiana Jalandhar Siliguri Ranchi Bhagalpur Muzaffarpur Patna Chandigarh                     Amritsar                     Bareilly                     Agra                     Dehradun University* College* Course* Select UG PG Subject* Phone* Email* Social Media Profile (Ig/Fb/X) Collage I Card (JPEG) Maximum file size 5 MB only* Language* Select Hindi English