Registration
Name:
Email:
Phone:
Amount:
Designation:
Full Name as it needs to be in certificate:
Gender:
Please select
Male
Female
Other
Food Preference:
Please select
Veg
Nonveg
Name of the Organisation:
State:
Country:
Reason for attending:
About yourself:
Any previous TEDx participation:
Please add here Photo (passport size):
Please upload your photo (JPG, PNG, GIF - Max 5MB)
Organisation ID:
Please upload your organisation ID (PDF, JPG, PNG - Max 5MB)
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Summary and Payment
Name:
Email:
Phone:
Amount:
Full Name for Certificate:
Gender:
Food Preference:
Name of the Organisation:
State:
Country:
Reason for attending:
About yourself:
Previous TEDx participation:
Photo:
Organisation ID:
Payment Method:
HDFC Payment Gateway
Amount: 1500 INR
Pay Now
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