An initiative of

Under the aegis of

Road Safety Campaign 2021

“Global Road Safety Education for Next Generation”

(An initiative by United Way Mumbai under the aegis of UNITED FOR ROAD SAFETY, supported by Total Oil India Pvt. Ltd. &
Managed by Global Road Safety Partnership)

Registration Form for Inter-School Competition

Name & Address of the participating School:
IMPORTANT: Last date for submission
of competition entries authorised by
the school must reach to United Way
Mumbai by: 10th February, 2021 Contact No of the School:
@Email:
Name of the Teacher in charge / Focal person: _
amruta@unitedwaymumbai.org

Contact No: Email Id:

Competition Categories (entries for 5th to 8th class students):

Sr.no. Competition No. of entries per School

1 Poster Making 5 entries per School

Sr. No. Name of the Student Standard Division

E.g. ABC 5th D

Supported Managed In collaboration

 An initiative of
Under the aegis of

Sr.no. Competition No. of entries per School

2 Slogan writing 5 entries per School

Sr. No. Name of the Student Standard Division

E.g. XYZ 5 th D

Sr.no. Competition No. of entries per School

3 Rap song/Jingle writing /poem writing 5 entries per School

Sr. No. Name of the Student Standard Division

E.g. XYZ 5th D

Supported Managed In collaboration

 An initiative of
Under the aegis of

Sr.no. Competition No. of entries per school

3D Models of Safe Road

6 1 entry per school
Infrastructure

Name of the Student representative presenting the 3 D

Sr. No. Standard Division
Model
E.g. XYZ 5th D

I hereby certify that, we understood the inter-school competition guidelines. The participants listed above are the
bonafiede students of our school.

Date:

Place: Signature and seal of the Head of the School

Supported Managed In collaboration