Registration Form for "104 to Space"
Planetary Society India needs your help to communicate and Make astronomy reach to larger sections of people. Our Motto is "Cosmic Understanding for Universal Brotherhood" .
Name of the Institution where you are studying ? Address ?
Mention email, Website, Phone details if known.
Class/Year Details ? Name of the Course you are pursuing ?
This will help us invite/involve you in activity when conducted in your area
Your Email Address
Educational QualificationsAchievements/Projects Done/Awards recieved if any ?
Please list all educational - Dont worry even if you are from Non Science Stream
Click if you are interested ?
Please check (if you are interested)
I am interested to Join Your organisation.
I am interested in working on project/research conducted by organisaton.
I am interested to act as Resource Person for your organisation in spare time
Suggestions/Comments/Request you like to make
Note: All the Information provided by you will be part of our Record and would be used for Educational Purpose only.
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