1. Reporting point : Nava Bandar, Valsura Road, Jamnagar 2. Participant has to report on time on the date of the camp at the reporting point with Counter Slip. 3. Breach of rule no. 2. under any circumstances shall not entitle to any refund. 4. Participant has to maintain good conduct and discipline. 5. Noise pollution and music is prohibited on Pirotan island. 6. Guide’s instructions are to be strictly followed, unidentied objects, marine life is not to be touched. 7. Smoking and consumption of prohibited items are prohibited on the island. 8. Wear garments keeping the season and sea weather in consideration. 9. Pirotan island is an abode of nature hence do not expect modern luxuries.10. Registered application will not be cancelled or refunded.

I hereby declare that I am participating in this camp will the complete consent of my, parents/ guardians.I understand that I am the sole responsibility of myself and shall not hold the Navanagar Nature Club, the Guide, the boat owner or the organizers for any eventuality during or after the duration of the camp.

Participant’s Signature

Participant’s Counter Slipbring when reporting

Parent/ Guardian’s Signature

Nawanagar Nature Club - Jamnagar

Nawanagar Nature Club - Jamnagar

Org. Reg. No. E/3617/jam.

Org. Reg. No. E/3617/jam.

Rules and Regulations

Undertaking

Nature Camp : Pirotan

Nature Camp : Pirotan

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Name :

Name :

Application No:

Application No:

Address :

Address :

Mobile : ___ ___ ___ ___ ___ ___ ___ ___ ____ ____ Email:

Reporting time for participants ___________

Mobile : ___ ___ ___ ___ ___ ___ ___ ___ ____ ____ Email:

Camp Date:_____/____/______ Week Day: Emergency Cell no. ___ ___ ___ ___ ___ ___ ___ ___ ____ ____

Camp Date:_____/____/______ Week Day: Emergency Cell no. ___ ___ ___ ___ ___ ___ ___ ___ ____ ____

Surname

Surname

Student’s Name

Student’s Name

Father’s Name

Father’s Name