ICAI 75

Prefix *

Full Name *

Email Id * Each email address can only be used once.

Are You a *

State *

District *

Date of Plantation *

Planted a *

Planted on *

Planting Location *

Planting Numbers *

Upload a photograph of yourself with your planted sapling/pot *

Can be shared by ICAI on Social media *

Declaration: I certify the above information to be correct.

Name

Email Id

Mobile No

Name of the Concerned Person

State

City

Date of Plantation

Planting a

Planted on

Location of Plantation

Planting Count

Address of Location

Upload a photograph of yourself with your planted sapling/pot