REGISTRATION FORM:
REG #
NAME: ……………………………………..……………………………………………………………………………………………………………….
COLLEGE/ORGANIZATION: ………………………………………………………………………………………………………………………..
EMAIL ID: ……………………………………..…………………………………………………………………………………………………………..
CONTACT NO: …………………………………..………………………………………………………………………………………………………
☐ Yes, I’d like to go through the following process to participate in ChildApp
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Registration
2 days Boot Camp
o Hands on training for Windows Apps Development [For Beginners]
o Idea Brainstorming
Application Submission for Appathon
o Team Details
o Solution Name
o Solution Summary
ChildApp, Appathon for Innovative Solutions for Children June 27-29 , 2014
☐ Yes, I’d like to attend the ChildApp Boot Camp: the 2 day training for beginners.
Date:
Signature:
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Received With thanks from NAME: ………………………………………………………………………………………………………….
Of COLLEGE/ORGANIZATION: …………………………………………………………………………………………………………………..
The sum of NPR 1,000 (Nepalese Rupees one thousand only) toward the deposit amount for CityApp Innovative Solutions for
Children. Please do remember that this amount is not the participation cost or application cost, this will be refunded after your
attendance at Appathon or if you do not get selected for the Appathon but will be forfeited if you do not participate as per your
commitments.
You need to keep this receipt safely since it needs to be presented back for the refund. If this is lost, the refund cannot be made.
Date:
Signature
Innovation Center Nepal
Unlimited Technologies, Unlimited Building, PO Box 956, Khichapokhari, Opp Pashupati Plaza, Kathmandu, NEPAL
Phone: 977-1-2011302/3 * Fax: 97714255454 * Email: sonika@micnepal.org
URL: http://www.micnepal.org
http://facebook.com/groups/micnepal