Record Attempt Application Form

Full Name:
Mobile No:
Date of Birth:
Gender:
Email:
Occupation:
Permanent Address:
Detailed Description of Attempt (max 3000 chars):
Upload Evidence:

Drag & Drop files here, paste or browse

Multiple files allowed: videos, proofs, images, PDFs.
Optional: Provide a Google Drive link to your files.
Terms & Conditions:
  1. I authorize Book of Records to use the material submitted in their publications, productions, websites, and media.
  2. I accept that Book of Records will not be responsible for participant safety. Safety is solely my responsibility.
  3. I confirm all information provided is true and correct.
  4. I authorize Book of Records to contact me in future regarding records, services, or updates.