MIT Emerging Worlds Event India July 2016
Please fill out this form prior to your participation at Events in India this July.
*** Submission of this form does not guarantee a spot for you at this event.
Which event will you attend?
What is your full name?
Your answer
Delegates attending from your organization (max3) include Name, Designation and Email ID
Your answer
What is your email address?
Your answer
What is your affiliation? Institution and department, company name, etc.
Your answer
What is your position/title?
Your answer
What is your field of expertise?
Your answer
How would you like to participate/ contribute?
Required
Why are you passionate about digital innovations for societal impact?
Your answer
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