REGISTRATION FORM
SCIENCE CONCLAVE
15-16 NOVEMBER, 2018
ORGANIZED BY
ROYAL SCHOOL OF APPLIED AND PURE SCIENCES
THE ASSAM ROYAL GLOBAL UNIVERSITY
(BETKUCHI, OPP. BALAJI TEMPLE/ISBT, NH-37, GUWAHATI-781035)
Email address *
Participation *
Required
Name(participant 1): *
Your answer
Qualification *
Required
Do you need accommodation ? *
Required
Sex *
Required
Name(participant 2):
Your answer
Qualification
Do you need accommodation?
Sex
Address of the College/Institution:
Name (College/Institution): *
Your answer
Name(Principal/HoD) *
Your answer
Email id (Principal/Hod) ( if available )
Your answer
P.O *
Your answer
District *
Your answer
City *
Your answer
Pin *
Your answer
State *
Your answer
Permanent Address ( Participant 1):
P.O. : *
Your answer
District *
Your answer
City: *
Your answer
Pin: *
Your answer
State: *
Your answer
Phone: *
Your answer
Email-id: *
Your answer
Permanent Address (Participant 2):
P.O. :
Your answer
District :
Your answer
City :
Your answer
Pin:
Your answer
State :
Your answer
Phone :
Your answer
Email-id
Your answer
**Note:
1. Students are requested to fill registration form for different events separately.
2. Limited accommodation will be provided as first cum first serve basis for outside participants.
3. No travelling allowance will be provided for the event
4. All points are mandatory to fill up for the completion of registration.
5. There is a participation fee of Rs. 100/- per student. The registration fees will be collected on the day of the event and after that the Proof of Participation (POP) will be issued.
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