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Form 1 - J (Jugaad Innovators)
Form 1 - P (Professional Innovators)
FORM 2 - Student Innovators
FORM 3 - Institution Empanelment
FORM 4 - Mentor Registration
FORM 5 - Start-ups
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Contact
CiiA
FORM 1
For registration of students joining the CiiA to develop a culture of innovation among student fraternity as CiiA council members (CCM)
CiiA-4
Innovations Exhibition, Competition & Awards.
Title
Select
Mr.
Ms
Student’s Name
Gender
Select
Male
Female
Others
Date of Birth
Age
I-Card No. / Roll No.
WhatsApp / Mobile
Email
Local Address
City
State
Pincode
Institution
Affiliated to University
Studying in Class
Preparing for Next Exam
Subjects
Are you in Private Coaching?
Select
Yes
No
Name of Coaching Centre
Subjects Studying
Will you be Interested in Taking Coaching Classes Recommended by CiiA?
Select
Yes
No
Your Hobbies and Subjects of Interest
Your Communication and Leadership Skills
Select
Excellent
Good
Ok
Would you like to volunteer yourself to promote innovations, write blogs and motivate others?
Select
Yes
No
Are you in any cultural activities, dance / singing competitions etc.
Select
Yes
No
I confirm that all the information provided above is true and correct.
Referred by:
Contact Number
Email
Submit
For any query regarding FORMS feel free to
contact us.
