International World Records

International World Records

Internationally Known and Legally Constituted Organisation
Candidate's Name

First NameLast Name
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Father's Name/Husband's Name/Guardian's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
Gender

MaleFemaleOthers
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Number of Record Applied
Record Category

Sports and AdventureCollectionPets and AnimalsGroup RecordsScience and TechnologyMan-made StructureGardeningYoga and FitnessCreative ArtKidsMeasurementIndustrial
Will you be a Participant ?

YesNo
Are you applying on behalf of ?

IndividualOrganisationGroupInstitutionBusinessOthers
Record Attempt Title
Record Attempt Details
Date of Attempt

MonthDayYear
Date
Attempt location Country
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Upload the application form

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Upload media proof of the attempt

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Record attempt video link

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Upload witness of the attempt

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Declaration

I hereby declare that all the above mentioned details are true and to the best of my knowledge .
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