National Women Conclave '19 on January 25th ,2019 .
Full Name *
Kindly write your full name - eg. Kalpana Yadav . Because the same will be used on participation certificates also , so be specific about the same .
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Mention Your Category *
Department /Class *
Please mention your department in case of faculty and class in case of student
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Designation / Roll.No
Designation in case of faculties and Roll.No in case of Student
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Phone .No *
Please mention only 10 digit numbers
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Email ID *
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School /College Name *
Please mention full name of the school /College
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Location of the School /College (City Wise ) *
Yamunanagar /Ambala /Karnal/Kurukshetra or any other
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Complete Address of the School /College
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