Application Form - Individual

Full Name

Gender GenderMaleFemaleOther

Father's Name

Mother's Name

Date of Birth

Height

T Shirt Size T Shirt SizeXXSXSSLXLXXLXXXL4XL

Email Address

Mobile Number

Complete address Line 01

PIN Code

Proposed Record Title

World Record Description

World Record Attempt Date

Duration of Record

Setting or Breaking World Record Setting or Breaking World RecordSelectSetting New World RecordBreaking Previous Record

Record Categories Record CategoriesSelectAchievement & InitiativesBiggest & SmallestCollection RecordsDifferently AbledEndurance RecordsFastest & SlowestFor the First TimeMass RecordsOne Minute MiraclePlants & AnimalsSports and YogaUnique RecordsYoungest & Oldest

Record Location ( Venue, City, State, Country)

Record Processing Method Record Processing MethodSelectNormal Processing (3 to 4 Months)Rapid Processing (in 01 Month)Instant Recognition Processing (Within 48 Hours)

Evidences Enclosed Evidences Enclosed Sample Photograph of Record Sample Video of Record Birth Certificate (Youngest & Oldest Category) Other Documents

Self Declaration Self Declaration I Accept, I have accepted all the rules & regulations and terms & conditions of GBWR and followed all the guidelines to attempt the record set forth by the GBWR.