CIMAP-CENTRAL-FACILITY

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Employee Registration Student Registration

Student Registration Form

Student ID*

Full Name*

Mobile No.*

EPABX No.*

Email ID*

Alternate Emal ID

Designation*

Duration*

Date of Birth*

Date of Joining*

Division*

Department*

Supervisor*

Project*

Photo*

Upload only png or jpg image. file size maximum 100kb

Password*

Confirm Password*

Enter Captcha*

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