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Record Claim form for Individual
Application Number
(In case Record application has been sent)
Applicant's Name
*
Date of Birth
*
Sex
*
Male
Female
Other
Height
*
Complete Address
*
It is Compulsory to Mention PIN Number.
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Mobile Number
*
Email
The record you are claiming is:
*
(Please check whichever is applicable)
Setting New Record
Breaking Previous Record
Challenging for new Record
Record Title
Record Duration
*
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05
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MM
Record Location
(Venue, City, State, Country)
Record Description
Evidences enclosed:
*
Log Book
Photographs
Video
Newspaper Clippings
URL (Please specify)
Others (Please Specify)
Application Form
Fully filled with all information.
Any Address proof
*
preferably aadhar card copy.
Passport size Photograph
*
pictures bach ground should be White.
Video
Photographs of Record attempt
Media coverage (Print/Electronic)
Other
General Rules and Guidelines:
01. Famous Book of Records does not promote or accept attempts or records that can potentially lead to any kind of destruction or harm to property, health, morality or general well-being of an individual/organization/society. Similarly, the record/record attempt should not hurt or cause any kind of injury to any animal/s.
02. Approval or disapproval of any attempt of record will be solely the decision of the FBR team. Record application processing may take up to 30 days from the date of receipt of the application. After processing the application a Record Claim ID and Record specific rules & regulations would be provided.
03. FBR team member need not be mandatorily present at the time of attempting a record. However, the authenticity of the record should be properly taken care of by having either an adjudicator/s or/and witness/es at the record attempt location.
04. At least two witnesses should be present at the time of attempting the record. The complete details about all the witnesses should be enclosed with the claim documents. All the documents should be duly signed by all the witnesses.
05. Approval and certification will be published only after receiving the claim form and the complete process of attempt verification. All claim materials/Documents/evidence submitted to FBR will be a property of FBR subsequent to the record claim. FBR is under no
obligation to return any kind of claim materials/ documents/ evidence back to the attempter/ attempting organization.
06. You can separately apply for adjudication of record by filling the adjudication form.
07. Record Application form should be mailed at records@famousbookofrecords.com clearly
mentioning the applicant/s name, address and contact details.
I hereby accept all the terms and conditions of the Famous Book of Records.
*
Yes
Verification
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*
Example: 12
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