ALL INDIA SC/ST DOCTORS & ENGINEERS CONFERENCE
MEMBERSHIP-cum-REGISTRATION FORM
  • Please Enter the STAR Marked (*) fields to Avoid FAKE Identity.
  • Registration is for availing Membership purpose only. Participation is not must at this stage. You will be seperately promted for your wish to participate in the Conference.
REGISTRATION FORM
(1) NAME*:

(2) E-Mail Address*:
(3) Date of Birth*: (4) Gender*: (5) Marital Status*:
(6) Your
       Present
       Location:
(a) City:
(b) State:
(c) Country:
(7) Contact Number:(with Country & Area Code)
(8) ADDRESSES:
(a) Correspondance Address*: (b) Permanent Address: (Optional)
(9) Education: OTHER:(Plz Mention)

(10) Higher Education: OTHER:(Plz Mention)
(11) Present Profession*:
 (Mention,if Other)
(12) Company/Institution Name*:
(13) Salary Package(in INR/Annum)*:
(Enter 0.00 to keep it secret)
(14) Monthly In-Hand Salary(in INR)*:
(Enter 0.00 to keep it secret)
(15) Past Work Experience (if any):
[ From(Month-Year)-To(Month-Year)/ Post Held/ Company Name/ Other Details(if any) ]
COMMENTS & SUGGESTIONS
(16) Plz write whatever you could not express in the above section: (if any)
NEWS >>
2nd AISEC Indoor Meeting was successfully held on Sunday, 31 August 2008 at Hotel Pearl Marc, Kurukshetra. To download Minutes of the Meeting : CLICK HERE >>   -|-|-|-|-     AISEC Registred Membership is growing fastly. To See the Monthly membership-progress ( as on 20 Sep 2008): CLICK HERE   -|-|-|-|-     To Register : CLICK HERE   -|-|-|-|-     To Subscribe to the AISEC Mailing List ( On Google Groups): CLICK HERE   -|-|-|-|-    
MORE >>
| AISEC-HOME | ABOUT-AISEC | REGISTER | MEMBERS LIST | CHAPTERS | DISCUSSION | DOWNLOADS | USEFUL LINKS |
|
GOOGLE-GROUP | EVENT LIST | BIRTHDAYS | NEWS | FEEDBACK | SITE-MAP | CONTACT US |

http://www.freedback.com