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Fields mark as * are required fields.

Individual

Name*  
Designation  
Department  
Institute Name  
Address*  
City  
Pincode  
State*  
Country*  
Phone Number  
Mobile*
(Enter mobile no. with country code, eg  919999999999)     		 
Email Id*  
Password* (Password should be of 8 characters or more)  
Re-password* (Should be same as password)  
Website  
   

Private/Goverment Colleges

Name*  
Designation  
Department*  
College / Institute Name*  
Address*  
City  
Pincode  
State*  
Country*  
Phone Number  
Mobile*
(Enter mobile no. with country code, eg  919999999999)     		 
Email Id*  
Password* (Password should be of 8 characters or more)  
Re-password* (Should be same as password)  
Website  
IP Range  
Total No. of Students and Faculties*  
Preferred Mode of Access  
   

University / Corporates

Name*  
Designation  
Department  
University /Corporate Name*  
Address*  
City  
Pincode  
State*  
Country*  
Phone Number  
Mobile*
(Enter mobile no. with country code, eg  919999999999)     		 
Email Id*  
Password* (Password should be of 8 characters or more)  
Re-password* (Should be same as password)  
Website  
IP Range  
Total No. of Students and Faculties*  
Preferred Mode of Access  
   

Consortium/Groups

Name*  
Designation  
Department  
Consortium Name*  
No. of Consortium Members/ Names*  
Address*  
City  
Pincode  
State*  
Country*  
Phone Number  
Mobile*
(Enter mobile no. with country code, eg  919999999999)     		 
Email Id*  
Password* (Password should be of 8 characters or more)  
Re-password* (Should be same as password)  
Website  
IP Range  
Total No. of Students and Faculties*  
   
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