The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Send
Section 1 of 2
REGISTRATION FORM
Email
This form is collecting emails.Change settings
FDP - MEMS using IntelliSuite (June 25-30,2018)
Loading...
Loading…
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Gender
Question Type
Loading image…
Male
Female
Transgender
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Category
Question Type
Loading image…
General
OBC
SC
ST
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Designation
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Institute
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Place
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Contact Number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Do you require Accomodation
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Section 2 of 2
PAYMENT DETAILS
Registration fees for the programme is as under:-

For Faculties and Research Scholars

Rs.1000/- (For Gen/OBC) and Rs.500/- (For SC/ST)*

*Participants claiming fee relaxation must produce category certificate at the time commencement of Programme

For Industry Personnel Rs.5000/- only.

Accommodation Charges (if needed)
 
Rs.1000/- (incl. breakfast + dinner) to be paid along with applicable registration fees.

For making online payment, the details are as under:

Bank Name: Allahabad Bank
Branch: Mehgawan, Dumna Airport Road, Jabalpur
Name in Bank: EL & ICT Academy, IIITDM Jabalpur
Account No.: 50302042708
IFSC: ALLA0212433


Fees Paid
Question Type
Loading image…
Rs.500/-
Rs.1000/-
Rs.5000/-
Rs.1500/- (Including Accommodation charges)
Rs.2000/- (Including Accommodation charges)
Rs.6000/- (Including Accommodation charges)
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
DD Number/ NEFT Ref. No.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Date of Transaction/ DD issue Date
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Bank and Branch Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
FDP - MEMS using IntelliSuite (June 25-30,2018)
Copy
No responses yet for this question.
Gender
Copy
No responses yet for this question.
Category
Copy
No responses yet for this question.
Designation
Copy
No responses yet for this question.
Institute
No responses yet for this question.
Place
Copy
No responses yet for this question.
Contact Number
Copy
No responses yet for this question.
Do you require Accomodation
Copy
No responses yet for this question.
PAYMENT DETAILS
Fees Paid
Copy
No responses yet for this question.
DD Number/ NEFT Ref. No.
Copy
No responses yet for this question.
Date of Transaction/ DD issue Date
No responses yet for this question.
Bank and Branch Name
Copy
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.