Maharani Gayatri Devi Girls' School - Leadership Education And Discover- India Programme

School Information

Name of School *

Name of Principal / HM*

Address Street/Road/Avenue *

City *

State/Province *

Postal Code *

Country *

Email Address*

Phone Number*

Alternate Phone Number*

(If more than five students forward details separately)

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Name *	Grade/Class *	Date of Birth (DD-MM-YYYY) *	-

Name *

Gender *

Email Address*

Phone Number *

Passport Number *

Veg/NV/Vegan *

Any Special Dietary Needs*

Any Medical Requirements*

Accessibility Requirements*

Total Number of Students ( per student US $ 2000)*

Total Fees*

Total Number of Accompanying Teacher/Parent*

Total Fees*

# One Teacher / Parent US $ 1000

# No Charge for one Teacher in case of five or more students

Grand Total*