Environmental Analytics Registration Form

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Email *

Record my email address with my response

Name *

Age *

please fill the box only with numeric values

Gender

Email *

Address

Phone number

We only retain the phone numbers for the duration of the course for ease of communication.

Are you a student or working professional? *

Student

Working Professional

Which institution are you affiliated to?
if none answer with NA *

Maximum Level of Education *

Payment Options *

Please choose a payment option from below. Once the payment is done please send a copy of the transfer with your name to the email address.

theenvironmentalanalytics@gmail.com
Please put Your name and EA 2024 in the reference.
Example: Peter Kumbhar EA 2024

Google Pay (Phone: 9970438127)

Bank Transfer (State Bank of India, Account No 32462033964, IFSC: SBIN0004618)

Required

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