ONLINE LECTURE FORM

Registration Form for Online Lecture Participation

Brochure

Name*

Date of Birth*

Father's Name*

Email*

WhatsApp No.*

CRR No. (Without A or B)

Profession/Designation*

Organisation/Institution Name*

Organisation/Institution Address*

Organisation/Institution URL

Correspondence Address

Vill / Mohalla *

Pin Code *

PO *

District *

PS *

State *

City *

Country*

Permanent Address

Vill / Mohalla *

Pin Code *

PO *

District *

PS *

State *

City *

Country*

Account Details, Fee 99 Ru. /- for One Lecture programme

After Pay, Send your reciept on 8253808080 (Whatsapp No.)

WhatsApp Image 2022-06-10 at 12.01.57 AM.jpeg

I accept that no changes will be entertained once the duly filled forms have been submitted and that should my aplication be submitted with incomplete forms it will be rejected.

For any query or help contact on WhatsApp number : 8253808080

Thanks for submitting! Your Form Submitted Successfully

Madhumay Educational And Research Foundation

Redefining Education

Account Details, Fee 99 Ru. /- for One Lecture programme

After Pay, Send your reciept on 8253808080 (Whatsapp No.)

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