PEEC Registration Form
PURE EARTH ENVIRONMENT CONFERENCE, 2021
A national conference for students organised by Pure Earth Foundation
Name of the Participant *
Email Id *
Are you submitting a paper? *
Course of Study *
Gender *
Date of Birth *
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YYYY
Branch / Subject *
Telephone/ Mobile Number *
Name of the Institution/ College *
Name of Research Organisation
Mode of Participation *
Payment of Registration Fee i.e. INR 250 *
You can make payments/donations to Pure Earth Foundation by scanning the following QR code on any UPI compatible payment app. Please mention your name in the transaction description field for easy identification.
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