Registration form
Faculty Development Programme on "Data Analytics" from 01 - 05 July, 2019 at Dr. B. C. Roy Polytechnic (A Unit of Dr. B. C. Roy Engineering College), Durgapur, West Bengal.
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Full Name (in Capital Letter) *
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Date of Birth (DD/MM/YYYY) *
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Father's Name *
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Mother's Name *
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Gender *
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Department *
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Highest Qualification *
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Category *
Name & Address of the Organization/Institute/College *
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Postal Address *
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Postal / Zip Code *
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City *
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Telephone/Mobile Number *
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E-mail
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Do you need accommodation? (Accommodation will be on self-paid basis @ Rs. 500/- per day. For further queries please contact the coordinator Mr. Aniruddha Bera Ph: 9701390863.) *
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