JALSA 4.0 | Registration Portal

Full Name *

Batch *

Email Address *

Phone Number *

No. of Adults *

No. of Children *

Amount Paid (INR) *

Transaction ID / Receipt No. *

Date of Payment *

Bank: Axis Bank Ltd. | Branch: Tarnaka

IFSC: UTIB0000027

A/C Name: AFMC JALSA AOP

A/C Number: 926020007688565

Rs. 50,000/- Per Person

(On twin sharing basis, All Inclusive)

Advance payment Rs. 15,000/- (Non refundable)

Accommodation *

Total Rooms *

Attending *

Diet *

Veg

Non-Veg

Alcohol *

Yes

✨ JALSA 4.0 ✨