Record Claim Form

Record Holder Name

Age

Mother's Name

Father's Name

Contact Number

Address

State

Country

Pin Code / Zip Code

Record Title Name

Category

Solo Record Partner Record Group Record Mass Record

Record Attempt Date

Record Attempt Time

Record Attempt Palace

Record Duration Time

Write About Your Records In Detail

What will you present as record evidence?

Photographs Videos Newspaper Coverage Electronic Media Coverage

Processing Fees Receipt

Witness Name

Witness Age

Witness Contact Number

Witness Profession

Witness ID (Self Attested)

World Record Holder ID (Self Attested)

Convener Name (Group & Mass Record)

Convener Contact Number

Convener Address

Convener Profession

I agree

I confirm that all information submitted in this form is true and correct to the best of my knowledge. I accept the rules and terms of Yoga Book of Records and agree that my documents/photos/videos may be used for verification purposes. If any information is found incorrect, my record claim may be rejected.

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