JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mentor registration
Please fill in this form with basic details, it'll hardly take 2 minutes.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Mobile number
*
Your answer
RGIPT enrollment number (e.g EPE15065)
*
Your answer
LinkedIN
Your answer
Industry
*
Oil & Gas
Other:
Batch preference mentee
*
1st
2nd
3rd
4th
No preference
Other:
Department preference mentee
*
Chemical
Petroleum
MBA / M.Tech
No preference
Other:
Gender preference mentee
*
Male
Female
No preference
Preference for mentee's need.
*
Competitive exams
Academic
Research
Foreign Admits
Alternative career
No preference
Other:
Any other preference for mentee
Your answer
How much time can you dedicate to each mentee and how many mentee you wish to accept.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of RGIPT Google Apps.
Report Abuse
Forms
