DELEGATE REGISTRATION FORM
Delegate Information
Delegate Category
-- Select Category --
Industry
Student
Please select a delegate category
Delegate Type
-- Select Type --
3 Day Delegate
One Day Delegate
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Select Day
-- Select Day --
Day 1 (10th April)
Day 2 (11th April)
Day 3 (12th April)
Please select a day
Sponsoring Company Name (If Any)
Industry Type
Please enter your industry type
Student ID Card
Please upload your student ID card
Upload your student ID card (JPG, PNG, or PDF format)
Contact & Address Information
Address Line 1
Please enter your address
Address Line 2
City
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State
Please enter your state
Pin Code
Please enter a valid 6-digit pincode
Email Id
Please enter a valid email address
Contact Number
Please enter a valid 10-digit contact number
Details of the Sponsored Delegate(s)
Delegate 1
First Name
Please enter first name
Last Name
Please enter last name
Email Id
Please enter a valid email
Designation
Please enter designation
Other Details (If Any)
Add Another Delegate
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Delegate NUMBER_PLACEHOLDER
First Name
Please enter first name
Last Name
Please enter last name
Email Id
Please enter a valid email
Designation
Please enter designation
Other Details (If Any)