Welcome to North Maharashtra University!! !! 
Registration Form for Summer Research Apptitude Cultivation Workshop
* Marked feilds are manadatory
Applicant Name *
:
College Name *
:
Proposed T.Y. B.Sc. Specialization *
:
Date of Birth *
:
[dd/mm/yyyy]
Gender *
:
Email *
:
Mobile No.
:
Address for Communication *
:
Adhar Card Number *
:
Percentage of 12th Class *
:
[%]
Percentage of F.Y. B.Sc.*
:
[%]
Curricular Activities
:
Have you carried out Specific Activities/Project/Social Relevance Project
:
Statement of Purpose for the Participation *
:
[Maximum 200 words]
Why do you want to participate in this Workshop (Three reasons) *
:
1.
2.
3.