JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SCALE Registration Form
Event Timing: March 4th-7th, 2024
Event Address: Bombay Exhibition Centre, Goregaon East, Mumbai, India
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Name of the Organization
*
Your answer
Designation
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
State/Province/Region
Your answer
Zip Code
Your answer
Country
*
Your answer
Contact No.
*
Your answer
Second Participant Name
Your answer
Second Participant Company Name
Your answer
Second Participant Designation
Your answer
Second Participant Email
Your answer
Second Participant Phone Number
Your answer
GST No. (If not applicable, kindly mention NA)
*
Your answer
PAN (if not applicable, kindly mention NA)
Your answer
Sector Served
*
Agritech
Ammonia
Biotech
Carbon Capture, Usage and Storage
Cement
Chemical Seperation
Coal Plant Reuse
Fertilizers
Hydrogen
Long duration energy storage
Renewable Chemicals
Solar
Steel
Other:
Required
Share the details of the solution offered by your organization and how will it help Climate Action (max 150 char)
*
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ghalla Bhansali.
Report Abuse
Forms