Test

Full Name *

Email Address *

Contact Number *

Gender *

City and State *

Country *

Are you a *

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Registration Fee: ₹2500

Membership ID *

Registration Fee: ₹2500

Profession *

Registration Fee: ₹3000

Registration Fee: ₹3500

Professional Details

Current Designation:

Organization/Institution Name:

Professional Domain:

If Other, please specify:

Years of Experience:

Award Category (Select One or More)

Nomination Type

Self-NominationNominating Someone Else

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Achievements & Credentials

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Brief Summary of Your Contribution / Impact (100–200 words):

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Registration Fee: ₹15500

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Declaration

I confirm that the information provided above is true and complete to the best of my knowledge.I understand that the organizing committee reserves the right to request verification of credentials before confirming the award.I agree to allow the use of my name, image, and work in promotional and post-conference materials.