Envis Centre, Ministry of Environment & Forest, Govt. of India
Printed Date: Sunday, May 5, 2024
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
|