WordPress Writing Competition Registration Form

First Name*

Last Name*

Gender*

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Date of Birth*

Mobile Number*

Email*

Address*

Address Line 1

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City

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Title of Submission*

Word Count*

Brief Synopsis*

Submission Format*

Text Document (e.g., Word, Google Docs)PDFOther(Please specify)

Terms and Conditions *

I hereby confirm that the information provided is accurate and complete. I agree to abide by all rules and regulations of the competition and consent to the use of my submission for promotional purposes related to the event. I acknowledge that the organizers are not responsible for any loss or damage to my submission.