Get Cyclist ID

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Clubs List Get Cyclist ID - Cycle Chala, City Bacha

Email address *

Cyclist Name *

Blood group *

Contact Number *

Year of Birth *

Do you belong to a Cycling Club in your city ? *

If yes, Cycling Club Name ? (it will be added to your iD)

Cycle Brand/s you are using

What do you cycle for?

Work/Education ( Commute )

Recreation/ Fitness

Errands / Shopping

Livelihood / Deliveries on Cycle

Meeting friends / Family

Other

Incase of Emergency, Contact Person Name *

Emergency Contact Person Number *

Incase of Emergency, Contact Person Name

Emergency Contact Person Number

Residential Building / Society / Colony Name

Residential Locality / Area for eg, Malad (West) *

City *

Pin Code *

Which Muncipal Ward do you belong ?

Incase of Emergency, Doctors Name

Incase of Emergency, Doctors Number

Medical History, if any ?

Allergies, if any ?