Records Manager

Complete Name *

Mobile No. *

Date of Birth *

Gender *

E-mail *

Occupation *

Permanent Address *

Detailed description of your attempt (3000 characters limit) *

Upload your evidence if you have already attempted the record. Please provide the following proofs to proceed further:
1. Videos of the attempt, preferably with a stopwatch.
2. Proof of birth (birth certificate) or (10th class mark sheet) and proof of address (Aadhar card)/(Passport) etc.
3. One best picture of the applicant while attempting.
4. Newspaper cuttings or Television coverage links related to your record attempt (if available).
5. Contact details of the witnesses of the record attempt.
6. Any other documents*

Note: Need assistance in applying with us, call +91-9999436779 (9am - 6pm, Mon - Fri)

I agree to the following terms and conditions in relation to my record:

1) I authorize, India Book of Records to use the material sent in their publications,
productions, licensed merchandise, websites or any other media as television, radio etc., in
any manner and for any purpose. I have no claim on them. Under any condition, India Book
of Records will be under no obligation to return any of these materials.

2) I accept 'India Book of Records' will not accept any responsibility for the safety of participants. It is the sole responsibility of the claimant, to get insured and to ensure that all the necessary safety measures and guards are taken in consideration. All the equipment and gadgets used are to be thoroughly checked, prior to the record attempt. It has to further ensure that all required relevant compliance with any Government or non-Government authority along with local health and safety measures applicable at the time of the performance are in place.

3) I acknowledge that the information given here are true to the best of my knowledge.

4) I, hereby authorize India book of records to contact me. It will override my registry on the NCPR.
By providing your contact details you expressly authorized MDPL to contact you in future through
calls/SMS/E-mails and inform you about your products & services.

I agree *

Yes

India Book of Records Application Form (Need assistance, call +91-9999436779)