JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
IEEE Smart Cities Ambassador Application
Chair : Prof. Namita Gupta
Vice-Chair : Dr Neelu Nagpal
Secretary : Mr. Rakshit Jain
* Indicates required question
Name
*
Your answer
Contact No
*
Your answer
Are you an IEEE Member ?
*
Yes
No
If yes please mention your membership Id, else mention NA
*
Your answer
IEEE Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Country
*
Your answer
Organization/College/University Affiliation
*
Your answer
Area of Specialization
*
Your answer
Are you Ambassador in 2022 ?
*
Yes
No
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of IEEE.
Report Abuse
Forms
