Care Taker Marathon - 2019


Registration Fees - 100 Rs

Participant Name*:

Father's Name*:

Mobile No*:

Date of Birth:


Blood Group*:

Identification Proof*:


Mail Address:

Emergency contact No & Relation*:

T shirt size:

Registration No:

Declaration:- I do herby declare that all information furnished in my application are true, complete and correct to the best of my knowledge. I have read all instructions with term and condition thoroughly. I am duly aware that in the event if any particulars or information furnished by me is found to be false/incorrect/incomplete or I would found indulging in some unlawful act at any time, my participation for the Care Taker Marathon is liable to be summarily rejected/cancelled and liable to terminate without any notice. Care Taker Sir Ummed Memorial Trust is not responsible for any mishappening. All right reserved for Care Taker Sir Ummed Memorial Trust.

I have downloaded Care Taker app and Collected my Care Taker T-Shirt

Return this form to:


Only one applicant can apply for the Event using a single form. Also, do not send in more than one entry per person; multiple applications will entail all being rejected

Applicants must submit their entries only via the offline Application Modes. Please note, no individual/group has been authorized to collect entries on behalf of the Event.

Cash mode of payment is available for all entries. For Online payment details can be assessed through our website –

After successful registration the applicant will be allotted with a Number and this number must be pinned at the chest in front during marathon. Participant must collect the T- Shirt on the time of registration.

Before sending in your application, please check the following –

Filled in details against all mandatory fields prefixed with * in the application form.

Attached documents as may be required to confirm your entry based on the confirmation preference criteria.

Attached a copy of your latest passport sized photograph with your application.

Signed the waiver in the form.

The applicant below 18 years of age, can apply for the marathon, the guardian must sign the waiver and write his/her relation with the applicant.

Your application will not be accepted if any discrepancy is found in any of the above mentioned mandatories.

The registrations of race, email confirmations will be sent to all the confirmed participants who have given their valid email id in the entry form.

Requests for cancellation and thereby, refund will not be entertained in any circumstances.

If you do not receive any intimation from the race office, please contact our event helpline number 9982809050, 7737809050 or email at

All confirmed participants/their authorized representatives are required to come to the scheduled place of starting point of marathon.

Prize will be felicitation only after confirmation of all details furnished by the participant.

Authorized representative must carry with him/her-

Photo-identity proof of the representative or confirmed participant must be shown when asked; e.g. – Driving License Passport, PAN card, Election card and aadhar card etc.

Prize money, venue, and time of event are solo decision of Care Taker Sir Ummed Memorial Trust and they can be changes any time without prior notice. The facilitation of prize money will be done after confirmation of participant details.

Confirmed participants identity and proof of residence might be verified by a verification committee responsible for validating the details provided in the application form.

Confirmation of applications received will be subject to Entry Rules & Regulations given herein.

The right to participate in the event & the rights and benefits available to an applicant is at the sole discretion of the event Care Taker Marathon, and cannot be transferred to any other person under any circumstances. The applicant alone shall be entitled to the rights and benefits arising out of such confirmation of participation.