ONE DAY WORKSHOP ON PICO/NANO/MICRO-SATELLITES (PNM Sats)
WORKSHOP REGISTRATION FORM
Name
DOB
MM
/
DD
/
YYYY
Gender
Email ID
CONTACT NUMBER
COMMUNICATION ADDRESS
COURSE
YEAR
BRANCH
COLLEGE NAME AND ADDRESS
OCCUPATION
ORGANIZATION NAME AND ADDRESS
**Applicable for Graduates. Else put NA
PAYMENT MODE (Payment details link http://bit.ly/22ezFwY)
Bank Name and Date
(If payment through DD / NA)
DD Number
(If payment through DD / NA)
DD Amount
(If payment through DD/NA)
Transaction details
(Applicable for net banking, please provide the transaction ID given by the Bank / others, NA)
For detailed agenda of the workshop visit http://bit.ly/28Mxjiw
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms