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Registration form for Workshops AT Tech@Edu
Title (Mr.,Ms,Dr.)
First Name
*
Last Name
*
Your Email-ID
*
Name of the Institution
*
Designation
*
Mobile
*
Landline
Contact Address
City
*
Country
Pincode
Type of your institution
Govt.
Self Financed
School
College
University
Polytechnic
Training Institution
Others
What is your highest qualification?
Graduate
Post Graduate
PHD/Doctorate
Others
Total Experience
0-1 Year
1-2 Years
2-5 Years
5-10 Years
10-15 Years
More than 15 Years
Please describe your role in adoption of technology at your institute?
( Tick one or more, as may be applicable)
I am the final decision maker
I review and suggest options to the decision maker
Sometimes I suggest. Sometimes I decide
I facilitate the deployment of technology
I influence the future generation of India by disseminating information on important technologies
I am involved in the R&D and development of technology related projects at my institute
Other:
Why do you want to attend Tech@Edu
To get acquainted with new technologies which are powering the education domain
To acquire new skill-sets
To network with other(s) in the education eco-system
Any Other reason:
Workshops that you want to attend . . . . .
Primary Choices [Pick any three]
State-of-the-art labs
Audio & Video Systems
Simpler Management thanks to IT
Hi-tech Teaching Aids
e-learning: Today and Tomorrow
Harnessing The Web and the Mobile
Open Source powered education
Secondary Choices [Pick any three]
State-of-the-art labs
Audio & Video Systems
Simpler Management thanks to IT
Hi-tech Teaching Aids
e-learning: Today and Tomorrow
Harnessing The Web and the Mobile
Open Source powered education
Promotional Code (Please enter the promotional code if you have, or leave it blank)
Note:
You can attend 3 workshops at the most. Registration will be done on 'first come first serve' basis. You can opt for 3 workshops as your 'primary choices' and any 3 out of the remaining as your 'secondary choices'. In case, the seats get full in any of the workshops under the primary selection, then you may be requested to attend a workshop from the list of secondary workshop choices made by you.
Note:
*
mark fields are compulsary
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