Event Registration Form
Email address *
कार्यक्रमाचे नाव (Event Name):
पूर्ण नाव (Full Name):
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निवासी पत्ता-पिनकोड सह (Res. Address with Pin Code):
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दूरध्वनी क्र. - एस.टी.डी कोड सह (Tel. No. with STD Code)
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भ्रमणध्वनी क्र. (Mobile No.)
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ई-मेल (E-mail):
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शैक्षणिक पात्रता (Education Qualification):
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संस्थेचे नाव (Name of Organisation):
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संस्थेचा पूर्ण पत्ता-पिनकोड सह (Organisation Full Address with Pin code):
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कार्यालय दूरध्वनी क्र.-एस.टी.डी. कोड सह (Office Tel. No. with STD Code)
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कार्यालय भ्रमणध्वनी क्र. (Office Mobile No.):
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कार्यालय ई-मेल (Office E-mail):
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संस्थेतील जबाबदारी (Organisation Responsibility):
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कार्यशाळेत सहभागी होण्याचे कारण (The reason for participating the workshop):
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कार्यक्रम शुल्क (Course Fee (Rupees):
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शुल्काचा तपशील (Payment Details [Cash/Cheque/D.D./RTGS]) : *
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