ENROLLMENT FORM OF BANCHBO SHARAD SAMMAN

NAME OF PUJO COMMITTEE:

ADDRESS (POSTAL COMUNICATION):

Route Direction with prominent land mark :

SPECIFIC LAND MARK:

CATEGORY OF PUJO:

ZONE:

NAME OF PUJO SECRETARY:

CONTACT NO. OF PUJO SECRETARY:

NAME OF CONCERN PERSON :

CONTACT NO. OF SAID PERSON :

COMMENCEMENT YEAR OF PUJO:

TOTAL BUDGET:

TITLE OF THEME OF THIS YEAR PUJO:

DETAIL OF THEME OF THIS YEAR PUJO :

MAJOR SOCIAL ACTIVITIES :

ANY SPECIAL INITIATIVE FOR CHILDREN :

ANY SPECIAL INITIATIVE FOR ELDERLY :

ANY SPECIAL HEALTH INITIATIVE :

PREVIOUS PARTICIPATION IN OUR RATING :

ANY SPECIAL MESSAGE IN THIS YEAR PUJO :

ANY SPECIAL INITIATIVE FOR CORONA PANDEMIC:

DECLERATION: Please tick in all points
We will exhibit Banners of Banchbo Sharad Samman and Biswa Sharad Samman in a prominent place(s) of our pujo venue both before and during the pujo.
We will abide all rules and regulations of Banchbo Sharad Samman and Biswa Sharad Samman.
We fully agree that, without showing any cause Banchbo Sharad Samman and Biswa Sharad Samman authority have every right to cancel our enrollment after verifying or scrutiny of the application.
Judges decision is final. No option of reviewing any judgement under any circumstances.
We will try our level best to cooperate with Banchbo Sharad Samman and Biswa Sharad Samman authority in all aspects.

We don't have any objections to exhibit our provided pujo clipping in related social media pages related with Banchbo.

Send your video clipping maximum 3 minutes duration by posting such in our facebook page: www.facebook.com/BanchboSharadSamman
Send your Covid 19 related and Amphan Relief related and any other relevant information (excluding mentioned in form ) in our email - banchbosharadsamman@gmail.com
For more details you may contact:
Mr. Sushil Sharma - 9007012491
Mr. Apurba Ghosh - 9830175357