Registration Form
Rainbow Rhapsody- world Autism awareness day program on April 2nd 2024, 
Organized by Kochi Municipal Corporation, ICDS, Social Justice Department and Jeevaniyam Charitable Trust.

Kindly fill and submit this form for ensuring your participation in this event.
Email *
Name *
Place *
Phone Number *
No of Participants ( Adult ? Children?) *
Is your child participating in any cultural event?
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Mention the event
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Give a note on the item
Do you need any arrangements from our side?
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Mention the Same
Do you have any concerns to be included in the panel discussion?
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Mention the concern
Submit
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