World Record Registration Form

*Full Name

*Email

*Phone Number

Date of Birth

Nationality

Address (city_state_country_postal_code)

Organization/Company Name (if applicable)

Designation (if applicable)

Proposed Record Title (E.g., “Fastest Time to Solve a Rubik’s Cube Blindfolded”)

Category of Record

Detailed Description of the Record Attempt

Objective of the Record (Why do you want to attempt it?)

Is this a new record or a record-breaking attempt?

If breaking an existing record, mention the current record holder and record details

Date of Attempt (Planned or Completed)

Venue/Location of Attempt (City, Country, Virtual if applicable)

Is this an Individual or Group Attempt?

Individual

Team

Organization

Number of Participants (if team record)

Is this a one-time attempt or a repeated event?

Safety Measures Taken (if applicable)