Registration Form: First Western Region Conclave in Hybrid Mode  at AISSMS College of Engineering, Pune                                                                Dates: 9-10 December, 2021                                      Registration Fees: Free


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Participants Full Name: *
Mobile No: *
Name of Event for which You want to Register? *
Year of Study: *
In which mode you will attend Event? *
Branch: *
Name of Institute/Organisation: *
Gender *
City *
State *
Country: *
Are you Student Member of Institution of Engineers (India), Students' Chapter? *
Membership Number:
Remarks if any?
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