Full Name *

Email *

DOB *

Gender *
ChooseMaleFemale

Age *

Blood group*

District *

Pin Code *

Mobile Number *

Emergency Contact Number*

Category *
U-12 Boys & GirlsU-14 BOYS & GIRLS (AGE: 12 TO UNDER 14) DISTANCE : ~ 8 KMSU18 BOYS & GIRLS ( AGE : 14 TO UNDER 18) DISTANCE : ~ 14 KMSMEN’S OPEN & WOMEN’S OPEN ( AGE : 18 & ABOVE) DISTANCE : ~ 21 KMSGREEN RIDEMRC TRACK

Cycling Experience in years *

Have you participated in any National or International
Cycling events? *

YesNo

Which cycle do you ride? *

Do you have Medical Insurance Policy? *

YesNo

Cycling Events you have taken part in?

Medical Insurance Policy Number

Your Social Media Profile Id