Conference Registration For Student

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

College:* College is Required

University:* University is Required

Pursuing:* Pursuing is Required

Name of Course:* Name of Course is Required

Sponsored by College / University:* Sponsored by College / University is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Description	Amount
Conference Registration For Student – Payment	₹5,400.00
Sub-Total	₹5,400.00
18% Tax	₹972.00
Total	₹6,372.00

CCAvenue

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