Name (required)

Gender (required):
MaleFemale

Email (required)

Phone no: (required)

Please confirm attendance: Yes / No (required)
YesNo

Do you want our T-shirt? (If Yes,make donation of the stipulated amount to the foundation's account with your name and #refTshirt)
First Bank account: 3108051600 (savings) Daivyan Children Cancer Foundation
YesNo

Leave A comment:

Thanks for your time, We appreciate.