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EDUNEXT CONCLAVE 2020

REGISTRATION FORM

1. Name :
2. Place/District :
3. Phone No(prefer whatsapp) :
4. Email ID :
5. Date of Birth :
6. Category : Student/ Teacher/ Parent/ Others

7. If student, studying class : 8/ 9/ 10/ 11/ 12/ Degree/ Others


For Others, please specify :
8. Studying Institution :
9. The course you want to join :
10.The most interested category : Science and Technology/
Arts, humanities and Commerce/
Civil Service, Media, Tourism etc.

11.Would you like to receive similar notifications from IVEAX : Yes/ No

Declaration
The above filled data are true to best of my knowledge

(signature)

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