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ATMIYA UNIVERSITY
Registration Form
* In case of successful payment, you will receive the confirmation email within 24 hours. In case you do not receive the email within the stipulated time period, please contact us on
support@atmiyauni.ac.in
by sending the transaction details
Seminar/Event/Programme Name
*
---Select---
Surname/Family Name
*
First Name
*
Middle Name
*
Email
*
Moblie No.
*
Participants Category
*
College/University/Industry/Institution/Organizations Name
*
City Name
*
State Name
*
Country Name
*
Payble Amount(INR)
Upload Identity Documents(Like as Passport,Citizenship card or any other government documents etc.)
*
