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| Last Updated:: 25/07/2014

Registration Form

 

 

NATIONAL CHILDREN’S SCIENCE CONGRESS 2013 (KERALA)

REGISTRATION FORM - A

 

 

 

Before starting a project Fill this form and submit to your District Co-ordinator

 

Title of the Project :

 

Language Used

 

District :

 

   

 

Name of Group leader

 

Age ____ Date of Birth________________Sex _____ 

Std/Class ___________________

Home Address with PIN code and Phone number, if any

School Address with PIN Code and Phone numbers, if any

________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

Other members of the Group (Name, Date of Birth, School Address)

1._______________________________________________________________________________

     ______________________________________________________________________________

2._______________________________________________________________________________

     ______________________________________________________________________________

3. _______________________________________________________________________________

    _______________________________________________________________________________

4. _______________________________________________________________________________

_______________________________________________________________________________

Name of the teacher Guide

_______________________________________

Address

_______________________________________

 

_______________________________________

 

_______________________________________

 

 

 

 

 

Name and Signature of Head of the Institution/

                      District Co-ordinator