1 Personal 2 Address 3 Emergency 4 Experience 5 Medical Already registered? Login here Create User & Personal Details First Name Last Name Email Mobile Number Password Must be 8+ chars, include uppercase, number & special character Confirm Password Registration For Date of Birth Gender Select Male Female Other Personal Mobile Aadhaar Number Upload Photo Next Address Details Street Address City District Select District Angul Balangir Balasore Bargarh Bhadrak Boudh Cuttack Deogarh Dhenkanal Gajapati Ganjam Jagatsinghpur Jajpur Jharsuguda Kalahandi Kandhamal Kendrapara Kendujhar Khordha Koraput Malkangiri Mayurbhanj Nabarangpur Nayagarh Nuapada Puri Rayagada Sambalpur Subarnapur Sundargarh Pin Code Same as Present Address Permanent Address Street Address City District Select District Angul Balangir Balasore Bargarh Bhadrak Boudh Cuttack Deogarh Dhenkanal Gajapati Ganjam Jagatsinghpur Jajpur Jharsuguda Kalahandi Kandhamal Kendrapara Kendujhar Khordha Koraput Malkangiri Mayurbhanj Nabarangpur Nayagarh Nuapada Puri Rayagada Sambalpur Subarnapur Sundargarh Pin Code Back Next Emergency Contact Name Relation Mobile Number Alternate Number Emergency Address Street Address City District Select District Angul Balangir Balasore Bargarh Bhadrak Boudh Cuttack Deogarh Dhenkanal Gajapati Ganjam Jagatsinghpur Jajpur Jharsuguda Kalahandi Kandhamal Kendrapara Kendujhar Khordha Koraput Malkangiri Mayurbhanj Nabarangpur Nayagarh Nuapada Puri Rayagada Sambalpur Subarnapur Sundargarh Pin Code Back Next Mountaineering Experience Have you trekked in Himalaya before? Yes No Highest altitude reached Select 3000m 4000m 5000m 6000m+ Peaks climbed earlier Highest Altitude Select 3000m 4000m 5000m 6000m+ Peak Name − + Add More Basic Mountaineering Course Yes No Institute Name Select HMI NIMAS NIM ABVIMAS JIM Other Course Grade Select A B C Upload Certificates Back Next Medical Details Height Weight BP Issue Yes No Diabetes Yes No Asthma Yes No Heart Issue Yes No Knee Injury Yes No Back Problem Yes No Previous Altitude Sickness Yes No If yes, details Current Medication Allergy Doctor Fitness Certificate Back Submit