-:: Welcome to AUETAA - Annamalai University Engineering & Technology Alumni Association ::-

DELEGATE REGISTRATION FORM


Registration For
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Registration For
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INR {{RgType.RegistrationTypeAmount}}

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Total Registration Amount:   {{RGTotalAmount}}
 

Participant Detail:

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Enter Mobile No. Mobile Number should contains exactly 10 digits
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Professional Detail:

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Only Alphabets, Numerals & special characters(&,-;_:) are allowed
Only Alphabets, Numerals & special characters(&,-;_:#) are allowed
Only Alphabets, Numerals & special characters(&,-;_:) are allowed
Only Alphabets, Numerals & special characters(&,-;_:) are allowed
Only Alphabets & Numerals are allowed Minimum 6 characters are allowed


Personal Detail:

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Marital Status:

Unmarried Married Divorced

Gender:

Male Female
Only Alphabets, Numerals & special characters(&,-;_:#) are allowed
Only Alphabets, Numerals & special characters(&,-;_:) are allowed
Only Alphabets, Numerals & special characters(&,-;_:) are allowed
Only Alphabets & Numerals are allowed Minimum 6 characters are allowed

If member of AUETAA, Please mention Life Membership No

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Name of the Accompanying Person:

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Registration Fees
INR {{DelegateAmount}}

Membership Amount
INR {{MembershipAmount}}

Additional People Amount
INR {{AccompanyAmount}}

Total Amount
INR: {{TotalAmount}}