Record Form Please enable JavaScript in your browser to complete this form.Institute / Organization / CompanyFull Name *Father / Mother Name *Date of Birth / Age *Email *GenderMaleFemalePhone Number *Address *Qualification *Record TitleRecord DescriptionDate of the Attempt / Attempted *Record Venue Purpose of the record attempt?Type of Processing *Normal Track - Rs. 10,000/- (Kids), Rs. 12,000/- (Adults)Fast Track - Rs. 12,000/-(Kids), Rs. 14,000/- (Adults)Group / Team Record - Rs. 25,000/-Spot Certification - Please contact usNormal Track Certificate, Medal & Memento will be couriered in 20-30 working days. Fast Track Certificate, Medal & Memento will be couriered in 10-15 working days. Record Attempt Photo Links (google drive links only)Video links (Google drive & Youtube links only)Witness Details (Optional): NameWitness Field of ExpertiseProof of ExpertiseWitness Phone NumberWitness EmailWhat did you observed & How it was verified?Terms & Conditions: *By checking this box you agree to our terms & conditionsTerms & Conditions: High Range World Records, is not liable for any kind of damage / property loss / accidents, that occur while attempting our world record. High Range World Records do not force or encourage anyone to risk their life and attempt for world record, it depends on the individual interest only. The fee that is paid is only for processing, service & handling charges and it will not be refunded. I agree to the above terms and conditions mentioned and i hereby declare that the details furnished above are true and correct to the best of my knowledge and liable for the result that takes place immediately. Privacy Policy: The personal information that we collect depends on the context of your interactions with us and the Services, the choices you make, and the products and features you use. The personal information we collect will be used in our Book and displayed on our Website and we are not liable in any consequences that occur. The data might be distributed to our third parties also.Submit