India International Mathematics Competition 2017 (InIMC 2017) July 2017

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1 India International Mathematics Competition 2017 (InIMC 2017) July 2017 CMS RDSO Campus, Lucknow, India Please fill in the details and send us by at the address below: City Montessori School, RDSO Campus, Lucknow, India Mrs. Swapna Mansharamani Phone : Website : PART I CONTACT INFORMATION Please fill in the details and send us by not later than 15 March Please fill in the details and send us by not later than 15 May I TRAVEL DETAILS Please fill in the details and send us by not later than 1 June 2017.

2 PART I CONTACT INFORMATION Please fill in the details and send us by not later than 15 May Country / City : Contact Person : (Surname) (First name) (Middle name) : Male Female Tel No. : Fax No. : Address : Contact Office : Key stage II 1 2 s 3 s 4 s Key stage III 1 2 s 3 s 4 s

3 Key Stage II A Leader B Leader

4 Key Stage II C Leader D Leader

5 Key Stage III A Leader B Leader

6 Key Stage III C Leader D Leader

7 ACCOMPANY (Accompanying persons/observers /Parents etc. Accompany #1 Accompany #2 Accompany #3 Accompany #4 Accompany #5 Accompany #6 Accompany #7 Accompany #8 Accompany #9 Accompany #10 Accompany #11 Accompany #12

8 Remark : Registration Fee for accompany / observers / parents is US $650 / Person

9 I TRAVEL DETAILS Please fill in the details and send us by not later than 1 June Arrival in Lucknow International Airport. Date (dd/mm/year) India Local Time Flight No. Airline Transfer at the airport in India (If Any). Airport Delhi Airport Mumbai Airport Other Airports Date: Date: Date: Time: Time: Time: Departure from Lucknow International Airport. Date (dd/mm/year) India Local Time Flight No. Airline Remark : Arrival and Welcome (In front of Counter A, Lucknow International Airport (LKO). About VISA please check India Immigration Service at website of the Ministry of Foreign Affairs of the India e-tourist Visa Facility is available for nationals of following countries/territories Albania, Andorra, Anguilla, Antigua & Barbuda, Argentina, Armenia, Aruba, Australia, Austria, Bahamas, Barbados, Belgium, Belize, Bolivia, Bosnia & Herzegovina, Botswana, Brazil, Brunei, Bulgaria, Cambodia, Canada, Cape Verde, Cayman Island, Chile, China, China- SAR Hongkong, China- SAR Macau, Colombia, Comoros, Cook Islands, Costa Rica, Cote d'lvoire, Croatia, Cuba, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, East Timor, Ecuador, El Salvador, Eritrea, Estonia, Fiji, Finland, France, Gabon, Gambia, Georgia, Germany, Ghana, Greece, Grenada, Guatemala, Guinea, Guyana, Haiti, Honduras, Hungary, Iceland, Indonesia, Ireland, Israel, Jamaica, Japan, Jordan, Kenya, Kiribati, Laos, Latvia, Lesotho, Liberia, Liechtenstein, Lithuania, Luxembourg, Madagascar, Malawi, Malaysia, Malta, Marshall Islands, Mauritius, Mexico, Micronesia, Moldova, Monaco, Mongolia, Montenegro, Montserrat, Mozambique, Myanmar, Namibia, Nauru, Netherlands, New Zealand, Nicaragua, Niue Island, Norway, Oman, Palau, Palestine, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Poland, Portugal, Republic of Korea, Republic of Macedonia, Romania, Russia, Saint Christopher and Nevis, Saint Lucia, Saint Vincent & the Grenadines, Samoa, San Marino, Senegal, Serbia, Seychelles, Singapore, Slovakia, Slovenia, Solomon Islands, South Africa, Spain, Sri Lanka, Suriname, Swaziland, Sweden, Switzerland, Taiwan, Tajikistan, Tanzania, Thailand, Tonga, Trinidad & Tobago, Turks & Caicos Island, Tuvalu, UAE, Ukraine, United Kingdom, Uruguay, USA, Vanuatu, Vatican City-Holy See, Venezuela, Vietnam, Zambia and Zimbabwe.

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