B-Form
DISTRICT LEVEL NATIONAL CHILDREN’S SCIENCE CONGRESS-2013
(PARTICIPANT REGISTRATION FORM)
EDUCATIONAL DISRTICT................................ REVENUE DISTRICT...............................
DATE.................................... VENUE..................................
A. PROJECT TITLE (CAPITAL LETTERS ........................................................................................................................
..................................................................................................................................................................................................
...................................................................................................................................................................................................
B. NAME OF GROUP LEADER SEX STD AGE DATE OF BIRTH SCHOOL ADDRESS (CAPITAL LRTTERS)
1. ................................................. ......... ........ ....... ......................... . .................................
2.................................................. ......... ........ ....... ......................... ..................................
3. ................................................. ......... ........ ....... ......................... ..................................
4. ................................................. ......... ........ ....... ......................... ..................................
5. ................................................. ......... ........ ....... ......................... ..................................
C. WHETHER TWO COPIES OF PROJECT
ABSTRACT SUBMITTED : YES/NO D. RURAL/URBAN
E. NAME AND ADDRESS OF TEACHER / GUIDE CAPITALETTERS).....................................................................
F. WHETHER OHP REQUIRED : YES/NO
WHETHER SLIDE PROJECTOR REQUIRED : YES/NO
G. LANGUAGE USED: MALAYALAM / ENGLISH
NAME OF GROUP LEADER: ........................................................SIGNATURE: .....................................
NAME OF DISTRICT CO ORDINATOR: ................................. SIGNATURE: ....................................
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