Network Security Online Registration Form
Summer Faculty Development Programme 2019 on Network Security at IIT Guwahati through NKN.

Please keep the following scan documents ready before registering (maximum size of file up to 1 MB) :
1) Scan copy of institutional ID (file name as "full name_id.pdf")
2) Scan copy of Demand Draft if applicable (file name as "full name_dd.pdf")

Name of Applicant *
Remote Centres of IIT Guwahati from where the participant will attend *
Father's Name *
Mother's Name *
Date of Birth *
Gender *
Designation *
Category *
Highest Qualification with specialization *
Address for Correspondence *
Name of the state\UT where candidate's sponsoring Institute is located *
Name and Address of the Organization/Institute/College *
Postal/Zip Code *
City *
Telephone/Mobile Number *
Email ID *
Subjects taught so far :
No. of refresher courses / workshops attended
Experience (in years)
Do you need Accommodation *
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