ONLINE REGISTRATION FORM

AIM – AIMS Conscious Capitalism Simulation Competition 2019

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PARTICIPANT DETAILS

Name of the 1st Team member  
Gender  
Email ID
Mobile number
Final Year  

Name of the 2nd Team member  
Gender  
Email ID
Mobile number
Final Year  

Name of the 3rd Team member  
Gender  
Email ID
Mobile number
Final Year  

Name of the 4th Team member  
Gender  
Email ID
Mobile number
Final Year  

Name of the 5th Team member  
Gender  
Email ID
Mobile number
Final Year  

Name of the 6th Team member  
Gender  
Email ID
Mobile number
Final Year  

We,

PAYMENT DETAILS

Mode of Payment  
Amount paid: Rs. 5,900/- (Rupees Five Thousand Nine Hundred only)
Bank and Branch  
Payment Ref. No.  
Date of Payment  

AUTHORIZATION

Select the Name of Institution  
City  
Head of the Institution  
Email ID
Mobile  
Note: Send the Payment reference number and PID through email: aimsconcapsimu@gmail.com