IGNITE - 2026
Summer Medical Internship Programme for School Students

Please complete this form to register for IGNITE 2026.

Kindly note: There are only limited number of seats for IGNITE 2026. We request previous participants to not apply again, so that we can provide opportunity for new participants in this innovative program.

* Required

* Name

* Date of Birth

* Gender

* Class

* School

* Father's Name

* Mother's Name

* Address

* Phone number of guardian with whatsapp

* Phone number of guardian 2

* Email id of Parent/Guardian

* Breakfast required ? (For breakfast the payment is to be made by the participant at the canteen payment counter before the meal. Lunch and twice daily tea / coffee/ Juice with Snacks, shall be provided and are complimentary.)

If food required, preference is

* Any allergies

Please upload a photograph of the school ID card of the student. Full name and class should be visible.