MOUNTAINEERS’ ASSOCIATION OF KRISHNANAGAR
CHURCH ROAD, KRISHNANAGAR, NADIA. PH.9474597148
APPLICATION FORM FOR 14TH ADVENTURE-CUM-NATURE STUDY (SUMMER) CAMP AT DOW HILL, KURSEONG, DARJEELING FROM 27/05/2017 TO 31/05/2017
PASSPORT SIZEPHOTOGRAPH
- Name in full :…………………………………………………………………….
- Guardian’s name :……...…………………………………………………………….
- Mailing address with :…………………………………………………………………….
Contact No.
…………………………………………………………………….
- Date of birth :…………………………………………………………………….
- Studied in class :…………………………………………………………………….
- Veg. / Non.-veg. : …………………………………………………………………….
- Camp life experience (if any):…………………………………………………………………….
- If there is any chronic disease, :…………………………………………………………………….
please mention
DECLARATION
I hereby certify that all entries are correct and also declare that I will not hold the organization or any of its members responsible in case of any accident/injury/illness of my wards during the proposed camp.
Signature of the Guardian
(For Office use only)
Received on :
Recommendation
MOUNTAINEERS’ ASSOCIATION OF KRISHNANAGAR
CHURCH ROAD, KRISHNANAGAR, NADIA. PH. 9474597148
JOINING INSTRUCTION FOR 14TH ADVENTURE-CUM-NATURE STUDY (SUMMER) CAMP AT DOWHILL, KURSEONG , DARJEELING FROM 27/05/2017 TO 31/05/2017
The Participants are requested to report at Howrah Railway Station at 4.30 p.m. on26/05/2017 and report to Tarak Nath Sen (M 8296169338) and Asok Roy (M 9474597148) at Nabadwip Dham Railway Station at 7.00 p.m. Dinner will be served for that night.
Journey : From Howrah Rly. Stn. by 5.35 p.m. / Nabadwip Dham Rly. Stn. By 7.31 p.m. on 26thMay, 2017 by 15959 Kamrup Express. Destination –New Jalpaiguri Railway Station. Then again availed Chartered Bus/Car for Dow Hill. Return journey by same mode and route on 31st May, 2017from Dow Hillto Sealdah by 13150 Kanchankanya Express from Siliguri Jn. Railway Station at 7.55 p.m.
Participation fee : Rs. 2500/- per participants age groupof8 years to 11 yearswhich includes the cost of traveling, food, accommodation etc.
The Participants are also requested to carry the following articles with them. The articles may preferably be carried in Ruck Sack/Havar Sack/Kit Bag. No valuable articles should be brought to the Camp.
- Coloured Bed Sheet: 1 No.
- Polythene Sheet (2x2 mt.).: 1 No.
- Air Pillow: 1 No.
- Light blanket: 1 No.
- Sataranchi / Close Cell Foam Mat: 1 No.
- Wind Proof Jacket: 1 No.
- Umbrella: 2 Nos.
- Sorts (for Boys): 1 No.
- Sports Shirt: 1 No.
- Light weight Towel: 1 No.
- Cades/Sports Shoe (avoid Leather Shoe): 1 Pair
- Socks (Cotton/Nylon): 2 Pair
- Chappal : 1 Pair
- Rain Coat (light weight): 1 No.
- Polythene Sheet (3 x 3 mt. light coloured – for Campers only): 1 No.
- Rope (Cotton 1/6” dia.): 3 mt.
- Note Book & Pen: 1 No.
- Drawing materials: 1 Set
- Plate, Mug, Spoon, Knife: 1 No.
- Torch with dry cell: 1 No.
- Water Bottle (must): 1 No.
- Cold Cream, Personal toilet and house wives kit
- Personal medicine (if required)
- Musical Instrument (if interested)
- Cotton Rope (1/8” dia.): 10 mt.
Points to remember for the participants :
- Camp discipline is to be strictly observed.
- All the participants must abide by the instructions of the Camp officials.
- Preservation of natural surroundings is to be strictly observed.
- Always keep friendly relation with the local people.
- Please carry lightweight articles.
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