BioTech Park Lucknow

Registration Form - Explore the Spirit of Entrepreneurship!

Duration: August 27-29, 2019

Participant Details: (All the fields having * mark are mandatory)

Name*

Father Name*

Date of Birth*

Gender*

Address For Correspondence*

Pin Code*

Mobile No*

E-mail*

Qualification*

University/ College Name*

Preferred Payment Type*

Registration Fee	:	Rs 2,500/- per participant.
Bank detail for NEFT
Beneficiary Name	:	CEO Biotech Park
Bank Name	:	Indian Overseas Bank
Branch Address	:	Sector-G, Jankipuram, Kursi Road, Lucknow
Account No.	:	179202000000068
IFSC code	:	IOBA0001792
Please email the transaction details to skilldevbtp@gmail.com

Kindly register me for the workshop: Explore the Spirit of Entrepreneurship! to be held Biotech Park.