Programme LEAD
Enroll now for TERI's Summer Programme on Leadership for Environment, Awareness and Development
Name
(Please provide your full name)
 *
Address *
Name of the School  *
School Address *
State *
City
Age *
Mobile No.  *
Class/ Standard/Grade *
Email id *
Why do you want to join this programme?
(Please chose the options that best reflect your choice) 
 *
Programme LEAD is spread across one month covering 140 hours spread across 5 days a week. Will you be willing to dedicate this time of yours? 
 *
If yes, please go through the guidelines for your payment-
The fee should be remitted via Paytm/Google pay/Internet/Phone banking to the following bank details:
 Beneficiary Name: The Energy and Resources Institute
 Bank Account Number: 0184 10000 50017
 Bank Name: HDFC Bank
 RTGS/NEFT/IFSC code : HDFC 0000 184
 Branch: Indiranagar, Bengaluru, Karnataka India
Please share the payment advice details to issue the receipt. The payment advice should contain the name  of the remitter and transfer details.  *
Date of depositing? 
 *
MM
/
DD
/
YYYY
Amount deposited? *
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms