IIT Kanpur Certification Program on PYTHON for Artificial Intelligence, Machine Learning, and Deep Learning
1st to 27th December 2024 
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Full Name *
Please fill-in the exact name you would like to appear on the certificate. Format-" Parul Srivastava ", i.e. each word starting in Capital letter and rest in lower case. No changes will be entertained later.
Gender *
College/Organization *
Please fill the exact name of the  College/Organization you would like to appear on the certificate.  Kindly DO NOT mention the whole address here. No changes will be entertained later.
Participant Type *
Designation *
Kindly write the full designation description. For example "Assistant Professor" , "Research Assistant" etc. Also begin each word with a capital letter.
Educational Qualification *
(Degree)
Complete Address (Name,  Address with Pincode and Contact Number) *
(Please fill complete postal address along with pincode where course material and certificate will be posted. Please note that pincode is mandatory)
Contact No. *
Participants Residing in India: Kindly enter your 10 digit mobile number only in the format- 9900998874. International Participants: Please enter along with country code  Ex. 0015417543010
email ID *
Kindly provide only one primary email ID please.
SBI i-collect Transaction ID *
Details for Paying Registration Fee via SBI i-collect-                                                                     http://www.iitk.ac.in/mwn/AIML/docs/SBI Collect.pdf . After submitting this registration form,  e-mail a copy of registration fee Receipt to mimo5G.iitk@gmail.com. Without the last step, your registration is not complete.  
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Bank A/C number *
This is "your account number" to which we would process refund in case of extraordinary circumstances.
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Fee Category
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