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BE THE CHANGE CAMPAIGN REGISTRATION
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NAME
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INSTITUTION / TEAM NAME
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AGE GROUP
4 TO 12 YARS
12 and above
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MOBILE NO
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EMAIL ID
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ADDRESS
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WHAT YOU WANT TO CHANGE
SYSTEM
CULTURE
THINKING
PROBLEM
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SOLUTION
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DO YOU WANT TO SPEAK ON OPEN MIKE
Yes
No
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ACCEPT TERM & CONDITION
YES
NO
Other:
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