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Registration form for AICTE Sponsored FDP-STTP on Science and Technology of Advanced Materials (STAM-2021)
Registration form for Participation on FDP STAM-2021
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STAM-2021
Title
*
Prof.
Dr.
Mr.
Ms.
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Category
*
SC
ST
OBC
GEN
Mobile No.
*
Your answer
WhatsApp Number
*
Your answer
E-mail Id
*
Your answer
Alternate E-mail Id
Your answer
Profession
*
Faculty
PhD scholar
PG scholar
UG scholar
Industry
Other:
Organization
*
Your answer
Designation
*
Your answer
Specialization
Your answer
Corresponding Address
*
Your answer
PIN
*
Your answer
State
*
Your answer
Have you attended and any ATAL FDP earlier?
*
Yes
No
Your expectations from this FDP:
*
Your answer
Declaration: I am not attending any other ONLINE program during this period. I will be attending only this course. I agree to abide by the rules and regulations governing the conduct of AICTE sponsored FDP.
*
Yes, I agree
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