Entrepreneurship Development Cell
Membership form (please fill all information in BLOCK Letters)
Email address
First_Name
Your answer
Middle_Name
Your answer
Last_Name
(Surname)
Your answer
Email
Your answer
Contact 1
Personal contact(If not then give Parent's contact)
Your answer
Contact 2
Parent's contact
Your answer
Gender
Course Admitted
Your department
Class
Passing year
when your final year will be completed
Address 1
House Name/No.= , Street = , City/Village = ,
Your answer
Address 2
Taluka = , Dist= , State= ,
Your answer
Pincode
Your answer
Areas of Interest
if multiple use comma as separator. e.g. Defense, Aerospace,Agriculture
Your answer
Hobbies
if multiple use comma as separator.
Your answer
Statement of Purpose
why you want to become an Entrepreneur ?
Your answer
Which type of Projects you would like to work on?
Your Project Ideas
do you have any projects ideas ??? if so, please give brief about it
Your answer
UNDERTAKING
Students need to Check this option for signing the undertaking
Required
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms