Conference Registration For Faculty

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone Number:* Phone Number is Required

ID Proof:* ID Proof is Required

Work Email ID: Work Email ID is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Description	Amount
Conference Registration For Faculty – Payment	₹7,200.00
Sub-Total	₹7,200.00
18% Tax	₹1,296.00
Total	₹8,496.00

CCAvenue

No val Please fix the errors above