Registration form
Workshop Date: 23, May 2023

Limited Seats: 25 participants only

Registration Fee: Before 21, May 2023
(For students Rs.590/- and others 1180/- including GST)

Contact details: Shridevi Gothe | Email : dr.shridevi.g@tdu.edu.in | Mob: 8951525526


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Title *
Full Name (in BLOCK letters) *
Email *
Contact number *
Organization/ Institute/ Company *
Location *
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Bank details
          Beneficiary Name: UTD-HST General Fund
          A/C No: 0694104000134705
          IFSC Code: IBKLO000694
          Bank: IDBI Bank, Yelahanka Branch
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