Registration form for Offbeat Explorers Bike Ride & Trek to Kalavantin Durg

Offbeat Journeys - Mumbai Midnight Cycling - South Mumbai Circuit

17th & 18th June 2023
Full Name*
Blood Group*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*
Contact No*

Emergency contact person (Family Member Only)*

First NameLast Name
Emergency contact person's mobile Number*
Relation*
Please note - Emergency contact person should be your family member only.

Trip Cost -

INR 550/- Per Person

Account Details -
Account Name - OFFBEAT JOURNEYS PRIVATE LIMITED
Account Type - Current Account
Account Number - 7747156403
IFSC Code - KKBK0000653

or

UPI - offbeatjourneys@ibl
Please attach Payment details*

Browse Files

Cancelof
Any Medical History*
Medical History Details

Declaration
I take full responsibility for being part of this trek/trip. 
Offbeat Journeys wont be responsible for any unavoidable circumstances that may arise during the trip/trek and the complete journey.
Should be Empty: