RYLA : JOINING INTEREST FORM Survey

ROTARY YOUTH LEADERSHIP AWARDS
Theme : "Be an Entrepreneur"

3 Days specialized training
Training delivery by Industrial Experts
Free Hand Holding and Mentoring after Training
Power Talk by Industry Icons
"RYLA - Be an Entrepreneur" Certification
Business Plan Contest
E-Book with exhaustive coverage on Entrepreneurship
Psychometric Based Persoality Assessment & Entrepreneurial Level Test Reports
Customzied, "With Your Photo" Year Planner Calendar
T-Shirt
Ticket to Singapore Contest & Surprise Rewards

FREE & EXCLUSIVE FOLLOWUP & HAND HOLDING PROGRAMS for Be an Entrepreneur RYLArians...

Fly to Singapore
CREA
Investmentoring
Starter Stars
Bizconnect
& More

UPCOMING BATCH DATES

RYLA BaE 65.0 : 20th, 21st, 22nd NOV 2026

RYLA BaE 66.0 : 18th,19th, 20th DEC 2026

RYLA BaE 67.0 : 22nd, 23rd, 24th JAN 2027

RYLA BaE 68.0 : 19th, 20th, 21st FEB 2027

RYLA BaE 69.0 : 19th, 20th 21st MAR 2026

VENUE

Hari's Hotel, Near Kappalur Toll Plaza, Thirumangalam, Madurai

FOR ASSISTANCE CONTACT
Rtn. P THANIKAI VEL PANDIAN : 94431 66650
Rtn. K C GURUSAMY : 94433 67248

YES

PLANNING TO JOIN

FORMER ROTRACTOR

Diploma

Pursuing PG

Pursuing UG

Pursuing Diploma

Others

JOB

BUSINESS

SELF EMPLOYED

PROFESSIONAL (Like Doctor, Practicing Engineer Etc.)

<=10,000

10,001 to 30,000

30,001 to 50,000

50,001 to 1,00,000

1,00,001 to 3,00,000

3,00,001 to 5,00,000

>=5,00,001

I don't know Family Income per Month

Advantage 1

Advantage 2

Advantage 3

Advantage 4

Advantage 5

I want to Learn about ENTREPRENEURSHIP

I want win the AWARDS

I want to try and go to SINGAPORE

I want to RELAX

I want to TAKE A BREAK

I want to MAKE NEW FRIENDS

I want to FREAK OUT

I Don't Know

Qn 1

Qn 2

Qn 3

Qn 4

Qn 5

Qn 6

BATCH 65.0 : 20th, 21st, 22nd NOV 2026

BATCH 66.0 : 18th,19th, 20th DEC 2026

BATCH 67.0 : 22nd, 23rd, 24th JAN 2027

BATCH 68.0 : 19th, 20th, 21st FEB 2027

BATCH 69.0 : 19th, 20th 21st MAR 2026

Address

City/Town/Taluk

Postal Code

RYLA : JOINING INTEREST FORM

ROTARY YOUTH LEADERSHIP AWARDSTheme : "Be an Entrepreneur"

Question Title

* 1. NAME (Required.)

Question Title

* 2. GENDER (Required.)

Question Title

* 3. EMAIL ID

Question Title

* 4. WHATSAPP NUMBER (Required.)

Question Title

* 5. DATE OF BIRTH (Required.)

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* 6. Are You a ROTRACTOR? (Required.)

Question Title

* 7. LOCATION (Required.)

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* 8. EDUCATION CLASSIFICATION (Required.)

Question Title

* 9. EDUCATIONAL QUALIFICATION (Required.)

Question Title

* 10. MOTHER TONGUE (Required.)

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* 11. FATHER's PROFESSION (Required.)

Question Title

* 12. MONTHLY INCOME of YOUR FAMILY (Required.)

Question Title

* 13. Do You have Dream to Become a Entrepreneur? (Required.)

Question Title

* 14. What Advantages an Entrepreneur have? (Mention Minimum TWO) (Required.)

Question Title

* 15. Who is Your Favourite BUSINESS PERSONALITY? (Required.)

Question Title

* 16. If you are going to start a Business, Which Industry will be your first choice to venture? (Required.)

Question Title

* 17. What is your PRIMARY Reason to Participate in this RYLA? (Required.)

Question Title

* 18. What TWO Questions about Entrepreneurship, You want to get an Answer through this RYLA? (Required.)

Question Title

* 19. Who Referred You to this RYLA? (Please mention the name of the person) (Required.)

Question Title

* 20. If You are ROTRACTOR, Which Club You belong to?

Question Title

* 21. I wish to participate in _____________ Batch (Required.)

Question Title

* 22. Your T-SHIRT Size(S : 38; M : 40; L : 42; XL : 44; XXL : 46;) (Required.)

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* 23. Name of the Institution Studying / Studied (Required.)

Question Title

* 24. Father's Name

Question Title

* 25. Father / Spouse Profession (pls mention the organisation or brand associated with) (Required.)

Question Title

* 26. Currently Studying (or) Working (or) Doing Business (or) Others? (Required.)

Question Title

* 27. Address (Required.)

Question Title

* 28. Upload Your Straight Facing Photo for ID Card (300+ dpi Resolution - JPEG, PNG, GIF or PDF Formats) (Required.)

ROTARY YOUTH LEADERSHIP AWARDS
Theme : "Be an Entrepreneur"

1. NAME (Required.)

2. GENDER (Required.)

3. EMAIL ID

4. WHATSAPP NUMBER (Required.)

5. DATE OF BIRTH (Required.)

6. Are You a ROTRACTOR? (Required.)

7. LOCATION (Required.)

8. EDUCATION CLASSIFICATION (Required.)

9. EDUCATIONAL QUALIFICATION (Required.)

10. MOTHER TONGUE (Required.)

11. FATHER's PROFESSION (Required.)

12. MONTHLY INCOME of YOUR FAMILY (Required.)

13. Do You have Dream to Become a Entrepreneur? (Required.)

14. What Advantages an Entrepreneur have? (Mention Minimum TWO) (Required.)

15. Who is Your Favourite BUSINESS PERSONALITY? (Required.)

16. If you are going to start a Business, Which Industry will be your first choice to venture? (Required.)

17. What is your PRIMARY Reason to Participate in this RYLA? (Required.)

18. What TWO Questions about Entrepreneurship, You want to get an Answer through this RYLA? (Required.)

19. Who Referred You to this RYLA? (Please mention the name of the person) (Required.)

20. If You are ROTRACTOR, Which Club You belong to?

21. I wish to participate in _____________ Batch (Required.)

22. Your T-SHIRT Size
(S : 38; M : 40; L : 42; XL : 44; XXL : 46;) (Required.)

23. Name of the Institution Studying / Studied (Required.)

24. Father's Name

25. Father / Spouse Profession (pls mention the organisation or brand associated with) (Required.)

26. Currently Studying (or) Working (or) Doing Business (or) Others? (Required.)

27. Address (Required.)

28. Upload Your Straight Facing Photo for ID Card (300+ dpi Resolution - JPEG, PNG, GIF or PDF Formats) (Required.)