Registration form and Application Form

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Registration form and Application Form
YUVA MEET 2015 College Registration & Application Form
YUVA Meet 2015
“Sustainable Solutions: Safe Water for All”
2-3 February 2015
Multi-Purpose Hall, India International Centre, 40 Max Mueller Marg, New Delhi- 110003
This document comprises of the Instructions, College Registration Form and Individual Application Form.
Instructions:
Please read the below mentioned instructions carefully before filling up the Registration Form and the
Application Form

The YUVA Meet is open for undergraduate/post-graduate students enrolled in a
recognized educational institution and young professionals below 30 years of age.

To apply, please send the College/Institute Registration Form (Pg. 3-4) and Application Form to the
contact details mentioned at the end. The forms have to be filled in English. The details in
Registration Form are to be filled in BLOCK LETTERS only.

The College Registration Form has to be filled and signed by the Principal/
Coordinating Teacher.

Maximum five students from each college/Institute can register for the Meet.
Departments/Faculties within a particular university will be tr eated as individual
institution.

The applicants have to submit individual application form (Pg. 5 to 7). The final
selection is based on the answers provided in the application form. The decision on
selection will be taken by TERI and will be communicated to all the participants.

A Registration fee (non-refundable) will be charged from each participant.
For Indian participants: INR 750
For International participants: $ 75
The selected participants can make the payment by cash at the time of re gistration
during the meet.

Outstation participants should reach Delhi by 1 February 2015. The meet will be over
by the evening of 3 February 2015.

TERI will cover the cost of board ing and lodging of participants (excluding Delhi and
NCR participants) from the morning of 1 Feb 2015 till the morning of 4 Feb 2015.
Travel fare to and from Delhi has to be covered by the participants.
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YUVA MEET 2015 College Registration & Application Form

This meet also offers an opportunity to participate in Delhi Sustainable Development
Summit (DSDS) to be held from 5 to 7 February 2015. Only selected participants will
be invited for DSDS and the decision will be communicated during the meet. If
selected, the participant will be required to reschedule his/her return journey .

The Registration and individual application form s (in Microsoft Word format) are to
be sent latest by 15 Dec 2014 preferably by e-mail to: [email protected] or
[email protected] Please label the subject line as “Application YUVA Meet
2015 /Name of the college/ institution/ individual”. The forms can also be posted to
the address given below:
Ms Monmi Barua/ Ms Meghna Goyal
Educating Youth for Sustainable Development Division
The Energy and Resources Institute
Darbari Seth Block, India Habitat Centre,
Lodhi Road, New Delhi 110 003, India
Phone Number: +91 11 46444500, 24339606-08 (Ext. 4238/ 4208)
Fax: +91 11 24339609, 24682100
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YUVA MEET 2015 College Registration & Application Form
Registration Form
(To be filled by college/institution)
Please read the instructions (Pg. 1 -2) carefully before filling the form. All fields
from Pt. 1-11 are mandatory.
1. Name of the College
2. Postal Address
3. City/District
4. State
5. PIN Code
6. STD Code
7. Telephone (College Landline)
8. Fax
9. Details of the Coordinating Teacher
Name, designation and address of the
teacher
Contact number
E-mail
(Landline/ Mobile)
10. Name of the Head of the Institution
11. Has your college participated in YUVA Meet before?
Yes
No
…………………….………………………………………………………………
(Signature of Head of Institute with Stamp )
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YUVA MEET 2015 College Registration & Application Form
Application Form
(For the Applicants)
Please fill in the details mentioned in the table below. Incomplete applications can unfortunately not
be considered. Please do not exceed the word count indicated in brackets at the end of each question.
Complete Application Form along with the College Registration Form to be sent to the contact details
mentioned at the end of this document. By submitting this application, the applicant understands and
gives his/her consent that any information provided in his/her application may be used and
distributed. Information provided on this form could be used in delegate packages, for selection
purposes, for conference publicity and at the request of sponsors.
Plagiarism in application form will lead to disqualification.
Applicant’s Name (in Block Letters)
Gender
Date of Birth (dd/mm/yyyy)
Name of College/Institute with address
(in Block Letters)
Name of University
Postal Address
Email Address
Contact Number (with STD Code)
Name and phone number of contact
person in case of an emergency (with STD
Code)
Do you require accommodation in Delhi
during YUVA Meet 2015 (Indicate reply in
Yes or No)
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YUVA MEET 2015 College Registration & Application Form
1. Give a brief account of your participation and engagement in any issue related to the
environment in the past 3 years? How will the experience gained from participation in the
YUVA Meet contribute to your work and initiatives towards environmental and sustainable
development? (Not more than 350 words). Extra sheet can be attached.
2. The world gathers for the 7th World Water Forum 2015 to deliberate, discuss and propose
solutions to the water challenging issues. According to you, what are the major water
challenges that the developing countries of the world are facing in current times. What role
can youth of today play in finding solutions to these challenges? 5 best selected ideas will be
discussed during the Meet. (Not more than 500 words). Extra sheet can be attached.
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YUVA MEET 2015 College Registration & Application Form
Declaration by the Applicant
I, ____________________________ [Applicant’s name] hereby certify that all information
provided in this application form is true, complete and correct to the best of my
knowledge. If selected, I undertake to spend the time during the period of the meet as
directed by the program management.
Date: ______________
Signature of the applicant: ___________________________
Signature with seal of the Head of College/Institution:
________________________________________________________
For further details, please contact:
Ms Monmi Barua/ Ms Meghna Goyal
Educating Youth for Sustainable Development Division
The Energy and Resources Institute
Darbari Seth Block, India Habitat Centre,
Lodhi Road, New Delhi 110 003, India
Phone Number: +91 11 46444500, 24339606-08 (Ext. 4238, 4208)
Fax: +91 11 24339609, 24682100
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YUVA MEET 2015 College Registration & Application Form
Details of Applicants (In CAPITAL letters only)
S.
No.
Name of the Applicant
Age
Gender
(F/M)
Course/
Degree
7
Year
(1 s t /2 n d /
3rd/ 4th)
Mobile No.
Email

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