Workshop Registration Form

Workshop Registration Form

Kindly fill this form if you are attending Workshop during July - August 2019 conducted at Cognifront.

Please fill in details below

Full Name :
(as you want on certificate)
Email :
Mobile :
Additional Mobile :
Upload Your Photo :
(Allowed types PNG,JPG,GIF,BMP)

Date Of Birth :
Current Address :
Permanent Address :
College Name :
College Address :
Course :
Year :
Department :
School Name :
School Medium :
Father's Occupation :
Mother's Occupation :

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