FB Academy 2019 Sign-Up Form
Details on www.formulabharat.com/academy.

Each pass is INR 1200 + GST.
Group of 5 (to 9) registered on same application = 5% discount,
Group of 10 (to 14) registered on same application = 10% discount,
Group of 15 (to 19) registered on same application= 15%,
Group of 20 or more registered on same application = 20%.
**Discount only valid for group registrations and payment made before September 1, 2019.

After signing up on the form, the registered email address will receive a proforma invoice from info@curiosumtech.in.

Email address *
Choose Academy Location *
Full Name *
Please check spelling
Your answer
Institution Name *
Mention is required if registering a group under one sign-up form. If individual registration, you may write NA.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Country *
Your answer
Postal Code *
Your answer
Phone Number *
Your answer
Is the above postal address same as the billing address? *
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