DELEGATE REGISTRATION - Student
Cinemalay, Nagaon, Assam(India) | cinemalayassam@gmail.com | www.cinemalay.com | +91 7086161419
Full Name *
Father/Mother/Guardian's Name *
Age *
Address(Permanent) *
Address(Current)
School/College/Institution Name & Address *
Standard *
Email id *
Contact Number *
I assure that the information provided by me is true and accurate *
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I agree to pay ₹50 as Registration Fee *
Please visit Cinemalay Office to pay the amount or Deposit/Transfer to our Central Bank of India(CBI) account: 3681162363, IFSC code: CBIN0283211 (Savings Account) or Paytm: (+91) 9957455568
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Please upload a recent passport size photo of yours (Max. size 1 MB) *
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Please upload a copy of School/College/Institution Identity Card (Max. size 1 MB) *
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