FDP Registration Form – Tech Saksham: Empowering female students towards tech careers

Enrollment Date *
Unique ID type *
Unique ID Number *
First Name *
Last Name *
Gender *
Date of Birth *
Email Id *
Mobile number *
Education Qualification *
If any other please specify
Designation *
Name of the host College/ University hosting the TechSaksham FDP *
College Name (Currently working with) *
College Address *
College District *
College State *
College Pin Code *
Track enrolled for *
I disclose the information willingly for it to be used by the authorities for the purpose of the program. Also, the authorities have the right to use the pictures, videos and above mentioned details for media surveys.

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