Registration Form
Siemens Centre of Excellence
National Institute of Technology Kurukshetra
TELEPHONE: 01744-233114, 115 E-mail:
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Title *
Your Name *
Email *
Mobile Number *
Home City *
Home State *
Academic Qualification (Course) Status *
Name of College/Institute/University *
Roll No.
Qualification Course Name *
Discipline *
Academic Year (If Pursuing)
Training Interested in *
Message/Comments, if any
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