REQUEST FOR CONSULAR CAMP (CONSULATE @YOUR DOOR STEP)
Name of the Organization requesting for Camp
*
State
*
Select State
Connecticut
Maine
Massachusetts
New Hampshire
New Jersey
New York
Ohio
Pennsylvania
Rhode Island
Vermont
Others
Has this organization registered with Consulate?
*
Yes
No
Please indicate unique Registration number
*
Proposed Date for Camp (Option 1)
*
Proposed Date for Camp (Option 2)
*
Proposed Timing of Camp From
*
Proposed Timing of Camp To
*
Location/Address of Camp
*
Expected numbers of applicants
*
Have you organised Camp before?
*
Yes
No
Details of last Camp
Date
*
Number of applicants attended
Details of Contact Person
First Name
*
Last Name
*
Designation in organization
*
Email ID
*
Email Verification Code :
*
Mobile Number
*
Message for Consulate (if any) 250 word Maximum
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