The Rotary Dream Team - India 2012 See Polio Out

As the world awaits the fulfillment of Rotary’s promise of total eradication of the polio virus, a few states in India are among the last bastions of this crippling disease.

Each year since 2008, the Rotary India Dream Teams have gone right into the heart of the Mewat District in the state of Haryana. The Rotary Dream Team - 2012 will also participate in a Polio NID (National Immunization Day) in the Mewat district (Haryana). Our focus will be on the villages of Pinagua, Tair, Punahana and Bisroo, where the latest polio case had been reported as recently as January 2010. We will not only participate in administering the drops to village children, but also advertise the message that it is critical for parents to bring their children for the drops. Unfortunately, large sections of the local population here still resist all efforts to get them to bring their children to the polio booths. Our focus is high on targeting the most backward, most resistant populations where the virus is most rampant. As the booths are thickly spread out in these villages, the number of children coming up to any one booth is not as concentrated as, say, a booth in the heart of a slum area in the capital city of Delhi - but the need for our effort is far greater here.

The Water Conservation Project: Build a dam! These four days of the trip may well be the most memorable. We shall work "hands-on" to build a check-dam in the state of Rajasthan! The dam will help about 5 surrounding villages to increase their annual crop yield by 50 percent, by retaining the considerable amount of monsoon rain water that flows away every year. We built our first dam in this area in Feb. 2010, and the resulting catchment in the monsoon months (July -August 2010) was hugely successful and benefecial.

The level of physical fitness required to enjoy this activity is no more than that of a normally active person, and since we will be working in tandem with local foremen and labor teams, prior experience or expertise in construction is not required. Previous teams of Rotarians on similar projects with us have been pleasantly surprised at how much they could achieve, and how easily and enjoyably.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

We will stay at the dam project site in an exclusive tented camp specially put up for our team. The tents are in the Swiss Cottage style, with two beds and an attached WC (western style with flush), shower, wash basin, running hot & cold water. This is a unique opportunity to live and work with the real, Eternal India: rustic, curious, warmly welcoming, a collage of timeless pastoral scenes.

Background: Detrimental effects of developmental activities on water and biological resources have lead to severe land degradation in this area, which in turn has weakened the ability of the community to depend on their environment for their livelihoods. As the environmentalists predict, the problem of fresh water supplies is likely to be the most important and critical issue of the 21st century.

The major objective is construction of a new water harvesting structure (check dam) to improve water availability and combat drought and flood problems for five villages in this area with a combined population of 15000 apx. It will trap the monsoon rain water which otherwise flows down and away as it gushes down from the Aravali hill ranges. Due to poor vegetative cover on these slopes the soil does not have water holding capacity. The dam will prevent aquifer degradation and surface water depletion, and this in turn will lead to:  Recharge of ground water and lift water levels in the wells.  Make drinking water available to community during summer months in their own villages.  Make drinking water available to cattle and other animals.  Assure irrigation in summer months and thereby increase the annual crops from 1 per year to 3 crops per year, including vegetable crops which are water intensive.  Check the distress sale of milch animals by increase in the green cover.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

In addition to the Polio NID activities and the Dam project, trip participants will have the opportunity to explore the cultural attractions of India.

Trip A is ideal for first-timers as it explores India's famous Golden Triangle including the Taj Mahal. Trip B is for repeat Dream-Teamers, delving into adventurous and spiritual facets of the Indian kaleidoscope. Both teams will have the option to take the extension trip to exotic Nepal!

What do you have to do to join Trip A or Trip B, and the optional extension trip to Nepal?  Read the following pages carefully, select the trip option A or B, and complete the attached Application form, indicating clearly if you would like to also take the extension trip to Nepal.  Email the completed form as a scanned attachment to [email protected], or fax it to +91-11- 26144767. We will study any special requirements that you may have and will then mail our invoice and payment directions by wire transfer or credit -card, along with vias application instructions.  Apply for your Indian visa  Send 100% of your payment by bank wire transfer or credit -card latest by October 15, 2011. The detailed instructions will be provided by us when we send your invoice.

DESTINATION HIGHLIGHTS

The Dam Project: As we approach Rajasthan, we will find stretches of golden sand & low, rocky hills dotted with magnificent fortresses. Occasional camel-caravans share the roads. Their riders wear the colorful turbans & fierce moustaches of the fabled Rajput clans. Erstwhile princes still live in splendor, and peasants still bow to the descendants of their former rulers. Rajasthan retains the Romance of the former kingdoms of "Rajputana": in its magnificent palaces and forts, and in the proud bearing and colorful dress of village folk who retain the rustic grace of their ancestors. Our Dam site is located in the buffer zone of the Sariska National Park, which was originally the hunting reserve of the royal family of Alwar. The reserve covers an area of 800 square kilometers, 480 square kilometers of which form the core area of the national park. The Northern Aravali Hills dominate the skyline with their mixture of sharp cliffs and long narrow valleys. The broad range of wildlife here is a wonderful example of ecological adoption and tolerance.

Standing on a steep front of the Aravalli Hills, Sohna looks out on a wide panoramic view of the plains below. The early morning sounds in Sohna are dominated by the call of peacocks and the ringing the temple bells from the nearby town. Sohna is famous for its natural hot springs, and a basic sulphur and steam bath facility is available at the sulphur spring temple. A walk in the town reveals a warm intermingling of the rich Old Heritage of India with the sometimes garish New.

The Polio NID area: Mewat, land of the Meos, has its genesis in its tribal inhabitants, the Meo tribals, who are agriculturalists. The area is a distinct ethnic and socio-cultural tract. The Meos, who trace their roots to the early Aryans of North India, call themselves Kshatriyas and have preserved their social and cultural traits to a surprisingly large extent, unlike the other tribes of nearby areas. During the regime of the Tughlak dynasty in the 14th century A.D., these people embraced Islam but till today, they have maintained their age-old distinctive ethno-cultural identity. Only one in ten Meos is able to properly read and write.

Trip A offers a grand panoroma of the fabulous art and sculpture produced by the ancient civilization of northern India. It will also present many of the amazing, colorful facets of life on the streets and in the countryside that make up the ever-changing, ever-lasting kaleidoscope of India.

The fortifications surrounding Jaipur give it a medieval atmosphere. The delicate honey-comb design of the ‘Palace of Winds' glows in the light of the setting sun. Quaint bazaars thrive around this edifice. High above the city, the towers and domes of the Amber Palace are reminiscent of scenes from a fairy tale. Indeed, Jaipur

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

The Rotary Dream Team - India 2012 See Polio Out. And Build a Dam! International Team Leader Rtn. Elias Thomas - RC Sanford Springvale, Maine, USA India Project Manager Rtn. Sanjiv Saran RC Delhi Megapolis, India embodies all that you may have heard about the pomp and pageantry of India, its Maharajahs and their fabulous palaces, and the marvelously colorful drama of Life on its bustling streets.

At Agra, the Mogul Emperor Shah Jehan presented the world it’s most magnificent monument to conjugal Love. A colossal, perfectly proportioned mass of marble, the Taj Mahal is literally a jewel. It was fashioned over 17 years by 20,000 craftsmen & laborers. From a distance, it seems to float, like a fantastic mirage, upon the banks of the River Yamuna.

Delhi: At the time when Bombay and Madras were just being established, Delhi had already been the capital of an empire for 500 years past. No fewer than eight cities have been built side by side on this site over the centuries. The city as it stands today has been built by Hindu, Muslim and British builders, and in a few minutes you can be transported from the neo-classical architecture of the elegant garden city of New Delhi to the narrow, twisting lanes that surround Chandni-Chowk in the old city.

Trip B will take an overnight train from Delhi to the ancient pigrimage town of Haridwar. Drive 2 hr to our tented camp on the River Ganges at Shivpuri. After shower and breakfast. drive for about an hour to the Kunjapuri temple, our starting point for a day trek. Set amidst lush green forest, Kunjapuri offers fantastic and glorious views of legendary Himalayan giants like Banderpoonch, Chaukhamba, Nanda Devi, and Trisul etc. The temple is dedicated to Goddess Durga. On returning to our camp, if time permits, enjoy kayaking on a calm stretch of the river.

According to Hindu Legend, the holy Ganga (or Ganges) was a goddess in the heavens who was persuaded by Lord Shiva to descend gently down through his giant locks of hair, to save the thirsty Earth. This is now a popular river in India for river running because it offers rapids with varying levels of difficulty (Grade II to IV) that can provide the thrills and spills of river rafting to both the novices and the experienced.

Reputed as the most professional outfitter in river running in India, our partner Snow Leopard Adventures is known for its utmost emphasis on safety. Snow Leopard Adventures runs its Ganga River programmes from the deluxe Leopard Beach Tented Camp. Set in the foothills of the Himalayas by the Ganga River amid a thick Sal forest, the camp is located 16 km from the temple town of Rishikesh. The camp is known for its excellent cuisine, efficient staff, hygiene and an impeccable safety record. Accommodation at the camp is in comfortable safari tents on a pristine beach by the Ganga River.

We will enoy a 3-4 hour rafting trip along a pristine 25 km stretch of the Ganges, with 10-12 exciting but easily negotiable rapids in the care of world-class experts. Reaching the venerable Parmarth Ashram, we will join the evening arti on the Ganges, a moving experience.

Situated on the pretty banks of the holy river at the point where it exits from the Himalayas, Rishikesh is a quiet and peaceful town that attracts pilgrims from all over India and the world. Rishikesh gained international fame when the Beatles stayed here for a few months. Time stands still here, as the eternal waters of the river emerge from the foothills of the mighty Himalayas. The river passes ancient hermitages where Hindu sages and their disciples live a life devoid of luxuries and rich in meditation and introspection, then past temples and ghats where strange rituals are performed, finally entering the plains to begin its long journey across the North-Indian plateau towards the Bay of Bengal. Rishikesh is also the "Yoga Capital of the World", a good place to study Hindu philosophy and religion in all its aspects.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

The Optional Extension to Exotic Nepal! (This Optional extension trip is available for participants inTrip A as well as Trip B)

The kingdom of Nepal is an exotic country cradled by the magnificent Himalayas. It has more than 100 peaks over 20,000 ft. straddling its border with Tibet, including Mt. Everest. Within a distance of 30 miles as the crow flies, the terrain descends southwards across terraced farmlands to an elevation of apx. 250 ft. at the rim of the fertile Indo- Gangetic Plain. Wild Life “sightings” in this paradoxical land encompass the legendary Yeti in the Himalayan snows, as well as the very real tigers that roam the low-lying Terai regions. The colorfully dressed people of this country are of diverse descent. Their culture is rich with ancient arts and crafts, music and dance.

Katmandu is a quaint town cradled by the magnificent Himalayas. The temples of Hanuman Dhoka are exotic and impressive, and have erotic carvings on the roof struts. A little girl is selected every few years to be the “Kumari” - a Living Goddess. She is worshipped as one till she attains puberty. Katmandu also has the largest Buddhist Stupa in the world at Budhanath. The Hindu Temple at Pasupatinath has superb golden-roofed shrines and huge doors sheathed in heavy-worked silver. Surrounding hills provide close views of Himalayan giants. Boudhanath, 5 miles east of Katmandu city is one of the largest stupas in the world. It stands with four pairs of eyes scanning the four cardinal directions, keeping watch over human prosperity and righteous behaviour. The stupa is built on an octagonal base inset with prayer wheels. The shrine is ringed by the simple homes of Lamas (Buddhist monks).

The hill town of Pokhara is situated near a beautiful lake formed by the Sethi Khola river at about 3000 ft. It is noted for its tranquil atmosphere and the beauty of the surrounding countryside. Three out of the ten highest mountains in the world can be viewed very closely from Pokhara.It offers stunning views of giant eight- thousander peaks such as the five Annapurnas, Manaslu and Dhaulagiri. In the middle of the Annapurna range, the Machapuchare ('Fishtail') with twin peaks close to 22000 ft can be seen. This is one of the few places in the world to provide such a dramatic view in a sub-tropical setting. In no other place do mountains rise so quickly. In this area, within 15 miles, the elevation rises from 3000 ft to over 23000 ft. Due to this sharp rise in altitude the area of Pokhara has one of the highest precipitation rates of the country. Even within the city there is a noticeable difference in the amount of rain between the south of the city by the lake and the north at the foot of the mountains. The climate is sub-tropical but due to the elevation the temperatures are moderate. We will enjoy walking tours around this quaint town and around the Pokhara lake, with its shimmering reflections of the gigantic mountain peaks towering above the town.

Dhulikhel offers breathtaking panoramic views of another section of the Himalayas, stretching from Langtang to Everest and beyond. We shall also delve into the heart of the old town where you can loose yourself to time in the tangle of cobbled lanes. discover ancient houses with sagging wooden frame works, intricate carvings, hidden temples and thriving market squares. Discover the color and culture of this vibrant place as you wander past old men smoking pipes, women hand spinning wool, traditional wood carving workshops and hidden gardens through ancient archways.

Bhaktapur has long been called the City of Devotees, and has recently emerged as Nepal’s Cultural Capital. Because of the city’s medieval architecture, its rich tradition of ancient music, handicrafts and ritual dance, as well as its present renaissance of vibrant Newar culture, Bhaktapur has been designated by UNESCO as a World Heritage Site. Situated at an altitude of 4500 ft, it is the home of medieval art and architecture. Shaped like a conch shell, the town covers an area of 4 square miles. Pottery and weaving are its traditional industries. The city lies about 9 miles east of Kathmandu. The main square of the city contains innumerable temples and other architectural showpieces like the Lion Gate, a Statue of King Bhupatindra Malla, a Picture Gallery, the Golden Gate, the Palace of 55 Windows, the Batsala Temple, the Bell of Barking Dogs, and a replica of Pashupatinath Temple.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

Outline Itinerary & Dates (Base Trip without the optional Extension to Nepal) The dates shown below are based on the Polio NID being held on Feb 12 or Feb 19.(if its on Feb.19, the ity. will take place in reverse on the same dates). However, there is a small chance that the NID date may change to a week earlier or later ( Feb 5 or 26) , so all trip applicants must be prepared to advance or postpone the trip by exactly one week. This change, if at all necessary, will be announced at least 6 weeks prior to the scheduled departure on Feb. 09, 2012 TRIP A TRIP B DEPART - NEWARK Depart New York/Newark, NJ DEPART - NEWARK Depart New York/Newark, NJ THU FEB 09 (Fiights to be finalised later) (Fiights to be finalised later)

ARR. DELHI - GURGAON: Arrive Delhi, India ARR. DELHI - GURGAON: Arrive Delhi, India FRI FEB 10 (DEL): Drive apx. 40 min to hotel in Gurgaon. (DEL): Drive apx. 40 min to hotel in Gurgaon. GURGAON - CHAHALKA -SOHNA: GURGAON - CHAHALKA -SOHNA: AM: Drive 1.5 hrs to projects at Chahalka Village. AM: Drive 1.5 hrs to projects at Chahalka Village. SAT FEB 11 Welcome Lunch at Sanjiv's country home. Welcome Lunch at Sanjiv's country home. Overnight at a motel in Sohna. Overnight at a motel in Sohna. SOHNA - MEWAT DIST. - SARISKA: (NID): SOHNA - MEWAT DIST. - SARISKA: (NID): 5 AM: drive apx 2.5 hr to Mewat villages. 8 AM - 5 AM: drive apx 2.5 hr to Mewat villages. 8 AM - 9 AM Polio Awarness Rally. 9 AM - 12 noon Polio 9 AM Polio Awarness Rally. 9 AM - 12 noon Polio SUN FEB 12 Immunizations. Afternoon drive 4 hr to to our Immunizations. Afternoon drive 4 hr to to our dam site near the Sariska Wildlife sanctuary. dam site near the Sariska Wildlife sanctuary. Next 4 overnights in our exclusive camp in Next 4 overnights in our exclusive camp in tented tented cottages. cottages. MON FEB 13 - Building our Dam. Overnights in our exclusive Building our Dam. Overnights in our exclusive THU FEB 16 camp in tented cottages. camp in tented cottages. SARISKA-DELHI (Drive) -HARIDWAR (Overnight Train): Drive apx. 4 hr to Delhi. Explore Old Delhi SARISKA - JAIPUR: Drive 2 .5 hr. THU FEB 16 bazaars. Depart Delhi 10:15 PM from Old Delhi Afternoon explore the Amber Fort. Railway Station. Arrive Haridwar early next morning at 05:50 AM HARIDWAR - SHIVPURI Met on arrival at 05:50 AM at Haridwar. Drive 2 hr to our tented camp on the River Ganges at FRI FEB 17 JAIPUR: City tour Shivpuri. Shower and breakfast. Day trek in the hills to view magnifiecnt Himalayan peaks. Afternoon kayaking on a calm stretch of the river. SHIVPURI - RISHIKESH: White water rafting on the Ganges. (No previous experience required. For anyone not keen on rafting, our coach will be available to JAIPUR - AGRA: Drive 5 hr to Agra. drive down to Rishikesh). SAT FEB 18 PM: Spend the afternoon at the Taj Mahal 3-4 hour rafting trip along a pristine 25 km stretch of the Ganges, with 10-12 exciting but easily negotiable rapids in the care of world-class experts. Join the evening arti on the Ganges. Overnight at the venerable Parmarth Ashram. AGRA - DELHI (Drive apx 5 hr)- RISHIKESH-HARIDWAR-DELHI (DRIVE) AM: Drive to Delhi. Enroute visit the elegant Morning drive to Delhi. SUN FEB 19 tomb of Emperror Akbar at Sikandra. Enroute explore Haridwar. PM: Farewell Dinner with Delhi Rotarians PM: Farewell Dinner with Delhi Rotarians DELHI - NEW YORK/NEWARK DELHI - NEWARK MON FEB 20 AM: City tour, shopping etc AM: CityTour, shopping etc PM: Depart Delhi, India (DEL) PM: Depart Delhi, India (DEL) TUE FEB 21 Arrive New York/Newark, NJ Arrive New York/Newark, NJ High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

July 04, 2011 Trip Costs Not including the optional extension trip to Nepal

Trip Cost based on sharing twin- bed /double-bed rooms: $ 3444 per person Supplement for Single Rooms: $ 634 per person

The above costs are valid for payments received before Oct. 15, 2011 and include the following services as per the enclosed itinerary (or the reverse itinerary if the Polio NID is on Feb 19):  International airfare New York/ Newark - Delhi and return in economy class  Accompanying Trip Manager from Delhi to Delhi.  Meeting and assistance at all the airports / Railway stations in India.  All land transportation by chauffeur driven A/C Mini Coach  City tours and all activities mentioned..  Transportation and Portage of one suitcase per member upto 25 lb each.  All meals.  Accommodation in base category rooms at hotels as listed below or similar

Hotels included (Trip A) City Accommodation No. of Nights Gurgaon Ramada Gurgaon 01 Sohna Suryansh Motel / Tourist Lodge 01 Sariska Tented Cottages 04 Jaipur Bissau Palace 02 Agra Howard Park Plaza 01 Delhi Ramada Plaza 01

Hotel included (Trip B): City Accommodation No. of Nights Gurgaon Ramada Hotel Gurgaon 01 Sohna Suryansh Motel / Tourist Lodge 01 Sariska Tented Cottages 04 Shivpuri Tented Cottages 01 Rishikesh Parmarth Ashram 01 Delhi Ramada Plaza Hotel 01

The following services / expenses are not included:  Passport, Visa processing fee, fee for inoculations and health certificates.  Any Meals other than specified in the program.  Any optional trips other than mentioned in the program.  Personal expenses such as table drinks, room service items, laundry, telephone calls or tips.  Any additional expenses caused by or liability for disturbance in trip program due to circumstances beyond our control such as airline delays, road blocks, vehicle malfunctions, weather conditions, sickness, natural disasters, riots etc.  Liability for or insurance against injury, loss of life, accidents or loss of goods.  Camera fee or any other item not specifically listed in the itinerary.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

This option is available for participants from Trip A as well as Trip B DELHI -KATHMANDU AM: Transfer to Delhi International airport. Flight to Kathmandu, capital MON FEB 20 of Nepal. Met on arrival and transfer to hotel. Afternoon city tour. TUE FEB 21 KATHMANDU: Tour of Kathmandu and neigbouring towns.

KATHMANDU - POKHARA: WED FEB 22 Drive apx 6 hr across the Terrai regions of Nepal to the quaint hill resort of Pokhara. POKHARA: Walking tour around this quaint town and around the Pokhara lake, with its THU FEB 23 shimmering reflections of the gigantic mountain peaks towering above the town. POKHARA- DHULIKEL (DRIVE): FRI FEB 24 Drive back apx 7 hr in the direction of Katmandu, up in to the hills to Dhulikel village for fabulous views of the Himalaya. Overnight in a charming mountain lodge. DHULIKEL-BHAKTAPUR (Drive 1 hr)- KATHMANDU (Drive 1 hr) - DELHI (flight) -NEW YORK (flight): Morning drive to Bhaktapur, a UNESCO World Heritage Site. Later drive apx. 1 hr to SAT FEB 25 Kathmandu airport for the flight to Delhi. DEP. KTM 4:35 PM ARR. DELHI 6.35 PM Met on arrival in Delhi and transfer to an exclusive shopping and dining mall. After dinner return to the airport for the flight to New York/Newark SUN FEB 26 Arrive NEW YORK/NEWARK, NJ

Extension Trip Cost based on sharing twin- bed /double-bed rooms: $ 1355 per person Supplement for Single Rooms: $ 634 per person

The above cost includes the following services as per the enclosed itinerary:  International airfare Delhi-Kathmandu-Delhi in economy class  Meeting and assistance at all the airports in India & Nepal.  All land trasnsport by an A/C Mini Coach  Sightseeing’s and all activities mentioned in the itinerary with local English speaking guides and including entrance fees.  Transportation and Portage of one suitcase per member upto 25 lb each.  All meals.  Accommodation in base category rooms at the hotels as indicated below or similar: City Hotel No. of Nights Kathmandu Himalaya Hotel 02 Pokhara Fishtail Lodge- Pokhara 02 Dhulikhel Dhulikhel Lodge Resort 01

The following services / expenses are not included in the Extension Trip costs:  Any accommodation in Delhi on last day (Feb. 25, 2012)  Any meals other than specified in the program.  Any optional trips other than mentioned in the program.  Personal expenses such as table drinks, room service items, laundry, telephone calls or tips.  Any additional expenses caused by or liability for disturbance in trip program due to circumstances beyond our control such as airline delays, road blocks, vehicle malfunctions, weather conditions, sickness, natural disasters, riots etc.  Liability for or insurance against injury, loss of life, accidents or loss of goods.  Camera fee or any other item not specifically listed in the itinerary.

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

Trip Application Form: Section 1 Please complete Section 1 & 2 of this form and email a scanned copy to [email protected] or fax it to +91-11-26144767 Last Name: First Name: Prefix (Mr. or Mrs. or Ms.) Rotary Club and District (if applicable) Position in Rotary Club and/ or District (if applicable) Address: House / Apartment Number, Street, City, State, ZIP / PIN, Country Date of Birth: Month / Date / Year Passport Number Passport Issued at (place of issue) Passport Issue ON (date of issue) Passport valid till (date) Telephone No. (Country Code - Area Code - Phone Number) Mobile Telephone number (Country Code - Phone Number) Fax Number (Optional): (Country Code - Area Code - Phone Number) E-Mail Address:

Details of person to be contacted in case of emergency: Name:

Relationship

Address: House / Apartment Number, Street, City, State, ZIP / PIN, Country

Telephone No. (Country Code - Area Code - Phone Number)

Mobile Telephone number (Country Code - Phone Number) Fax Number (Optional): (Country Code - Area Code - Phone Number) E-Mail Address:

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

Trip Application Form: Section 2 Which Trip Option do you prefer? Both options are projected TRIP A / TRIP B to run from Feb.09-21, 2012 Would you like to add the Optional Extension to Nepal? Both Yes / No Trip options are eligible to join this extension from Feb 20- 26, 2012 Would you agree to a shift in trip dates by exactly one week, Yes / No in the unlikely event of a change in the date of the Polio NID? This change, if at all, will be intimated at least 45 days before the scheduled departure. Do you require a single room? (please circle your answer and Yes / No delete the other) If not, is there anyone else traveling with you who will share your room? Yes / No (please circle your answer and delete the other)

(If yes) Name of person who will share my room:

Or, will you accept to share a room with any other Yes / No participant (same sex) (please circle your answer and delete the other) The tour pricing indicated on these pages includes international flights from / to New York / Newark, USA. Yes / No

Do you require a different international departure and (If yes) I prefer to depart from and return to: return city ? ______(in this case, we will send an alternative air itinerary and trip price for you) Please indicate your shirt size (for the Team T-shirts)

Your signature: ______Name ______Date:______

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com

For more information contact:

1) Team Leader - PDG Elias Thomas in Maine, USA www.eliasthomas.com Email: [email protected] Tel: 207-636-2222 (ext. 102)

2) India Project Manager - Sanjiv Saran in New Delhi, India Chair- International Service, Rotary Club of Delhi Megapolis Email:[email protected] Tel: (+) 91 -11-26141224

High Points of India 39, Paschimi Marg, Vasant Vihar, New Delhi-110057 Tel: (91) (11) 26141224 / 2614 5167 Fax: (91) (11) 26144767 E-mail: [email protected] Website: http://www.hipoints.com