LEAD PRAYANA 2018 Online Application Form
A leadership journey on wheels "Unleash Your Leadership Potential"
Full Name *
Please Enter Your Full Name
Your answer
Gender *
Please Select Gender
Required
Mobile Number *
Please Enter Your Mobile number
Your answer
E-mail ID *
Please Enter Your E-mail ID which you use regularly
Your answer
Nationality *
Please Enter Your Nationality. Eg Indian
Your answer
Date of Birth *
Please Enter the Date of Birth
MM
/
DD
/
YYYY
Age *
Please Enter Your Age
Your answer
Occupation *
Please Enter Your Occupation
Course *
Please Select Your Course
Semester *
Please Enter the Semester Eg,6,4
Your answer
Name of the Educational Institution. *
Please Enter the Educational Institution Name
Your answer
College Address *
Your answer
College City *
Please Mention city where your college is situated
Your answer
College State *
Please Mention State where your college is situated
Your answer
Home Town Address *
Please enter your residential address
Your answer
Home Town City *
Please enter Home City Name Eg, Hubballi
Your answer
Home Town State *
Please enter Home State Name Eg, Karnataka
Your answer
Full Name of the Parent or Guardian *
Please enter the Full Name of the Parent or Guardian
Your answer
Mobile Number of Parent or Guardian *
Please Enter the Mobile Number of Parent or Guardian
Your answer
Where did you hear about PRAYANA? *
Please Select the Options
Role Model in life and why? *
Describe minimum in 30 words
Your answer
Your views on LEADership. *
Reply the answers in detail, minimum 30 words
Your answer
Motivation to come for Prayana. *
General Aptitude II Minimum 30 words
Your answer
Personal initiatives and achievements. *
General Aptitude II Minimum 30 words (write in bullet points)
Your answer
Provide name of referral? *
A reference is a person who is willing to talk to us about your job skills, abilities, background, and general character
Your answer
Contact number of the referral. *
Your answer
LEAD ID
Please Enter Your LEAD ID. Eg: ME1726 (Mandatory only for the students who have registered in LEAD Program)
Your answer
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