Earth From Above & Beyond Session - World Space Week 2016
This Form can be filled by Faculty & Students (not more than two from Each Institution) from Science Stream. Engineering Students (including polytechnic) will be invited for a Exclusive session by End of this Month. Hence can fill form for 6 Oct 2016 Session but should check their mail/sms for our confirmation.
Name
Your answer
Designation
Kindly Mention your Subject taught if you are Faculty. Mention your group if you are Student.
Your answer
Name of The Institution & Address, Landline No. with Pin Code
Your answer
Mobile Number ( we will send sms & Whatsapp updates)
Always use your mobile number in Subject line when you write to us
Your answer
Your Email Address
Your answer
Your Website Address (if any)
Your answer
Your Facebook Id
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Are you Interested to Volunteer/Intern with Us?
Training will be provided for Faculty/Students to act as Resource Persons.
Your answer
Your Residential Address
Your answer
If you like Tell us more about yourself ?
You can share with us, your Interest in Science/Acheivements/Ambitions/Awards/Projects undertaken in School/College.
Your answer
Thank you for submitting and your interest. Please Visit www.facebook.com/planetarysocietyindia or www.ournewplanets.info regularly for updates.
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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