School Level Science Exhibition and Model Making Competition

03 Feb 2018
Registration Form

_______________________________________________________________________________

Name of School/College………………………………………………………….Sr. No………………….

Sr.No. Name of Student Class Father’s Name DOB Gender

Name of Teacher Coordinator……………………………………………………………………………

Contact No………………………………E-mail ……………………………………………………….

Model Physics and Engineering Chemistry and Bioscience Environmental Science

Category(Tick
any one)

Individual Team upto Five members

Model Type

Declaration by the Candidate:

The details submitted by us are our own work and not copied from other sources. We agree to abide by
rules and regulations of the Contest.

Signature of Team Leader

CERTIFICATE

This is to certify that………………………………………….is/are student(s) of our school and is/are

permitted to participate in the School level Science Exhibition and Model making competition held on
03Feb 2018 at NCCE, Technical Campus, Israna, Panipat.

Sign. Of Principal/Head of Institution

……………………………………………………………………………………………………………..

CONFIRMATION OF REGISTRATION

Reg. No………………………..

Registration of Mr./Ms…………………………………… of …………………………………………. for

the category mentioned above is hereby confirmed.

Convener