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Wander to Explore
Receipt
KEDARKANTHA TREK Camp Date : 15th to 24th December 2020
Name
Date Fees
Received By Name & Sign
Mob.
Male/Female Whatsapp No.
Emergency Mob.
Age D.O.B / /
E-mail
Hobbies Jain Food
School/College/Business
Occupation Blood Group
Allergic to
Risk Certificate:
I hereby declare that I am sending my
Son/ Daughter/ Mr. /Miss
Receiver’s Signature
Date :
WILDERNESS INDIA
Wan de r to Explore
ADDRESS
513, Poddar Plaza, Opp. Majura Fire Station,
Ghod Dod Road, Surat-395001
CONTACT
Viral Prajapati - 94276 30991
D a x e s h Pa t e l - 9 8 7 9 9 2 1 9 8 5
w w w. w i l d e r n e s s i n d i a . c o m
wander toexplore@gmail.com
THE
HIMALAYAS