Online Registration

Registration only through online

Date: 25/08/2019
Upload your recent photo (below 100 kb)
Name:
Date of Birth:
Gender:
Male
Female
Category
No: of accompanying person (Rs.1500/- per person)
Affiliation
(College/ University / Department)
Address
Pin code
District
State
Email
Phone (mob)
Phone (res)
Accomodation Required?
Yes   No
Food Type :
Veg   Non-veg
Payment Amount
Name of the Bank
Bank Transaction ID
Transfer Date: