Program Registration

Email Address *

Panyment Type *

Name: Labani Bar

A/c No.4410815607

Bank Name: State Bank of India

IFSC - SBIN0018014

Branch - Khariberia

Registration fees Rs.120/- Please mention Transaction ID after payment through Google Pay/ Net banking/ Phone Pay *

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Performing Subject for participation *

Performing Topic which must follow *

Performing Group *

Please mention for send your performance through this stated Whatsapp, Telegram or Email *What's-up App (9477597467)Telegram App (9477597467)Email Id ( info@gcac-essenceofculture.org)

Name of the Participant *

Name of Father / Guardian *

Full Address of the Participant *

Participant or Guardian Contact No. *

Date of Birth (DD-MM-YYYY) *

Gender *MaleFemaleTransender

Nationality *

Educational Qualification *

Name of the Guru / School / Organisation (if Any) *

Reference Details *

Declaration : I declare that the particulars given above in the form are true and correct. I accept full liability for any action against me under the rules and regulations of the GCAC. I will obey all the rules & regulations of GCAC. further declare that I am fully aware of recognition of certifications / awarded by Garia Cultural Assessment Centre & fully satisfied about the same. *I Agree

GARIA CULTURAL ASSESSMENT CENTRE

Registered with the Registration of Societies West Bengal Act. XXXVI of 1961 No. S0017745 of 2020-2021 dated 17th March 2021 An ISO 9001 : 2015 Certified Organisation

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Registered Office: Gitanjali, P-19, Model Town, Balia, Garia, Kolkata – 700084.
Communicative Office : 153/B, Bidhanpally, P.O.- Garia, Kolkata - 700084.
Phone : 9836447552 , 7449530658 , 9804205105 , 8697871176 , 8777549515
Email : info@gcac-essenceofculture.org
www.gcac-essenceofculture.org