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REGISTRATION FORM

BIHAR CHILDREN'S SCIENCE RESEARCH PROGRAM - 2024

Org. - Science For Society, Bihar

Coll. - SCERT & BCST, Patna

Fill this form in capital letters and submit to your District Co-Ordinator

(If you have any issues related to the website or registration, please call us at +91-7033043790.)

STATE*

DISTRICT*

BLOCK* TITLE OF THE PROJECT* SUB-THEME*

LANGUAGE USED*

AREA*

School/Institution Details

NAME OF THE INSTITUTION*

ADDRESS*

PIN*

Group Leader Details

NAME OF GROUP LEADER*

Photo* (MAX FILE SIZE: 5MB, but try to reduce its file size while maintaining acceptable quality.)

Gender*

Date of Birth*

CLASS

Whether has disability*

Type of disabilty (If Yes)

Address*

Pin*

Mobile*

Email* (Note: This email should be valid and not registered with any project before.)

Group Member Details

NAME OF GROUP MEMBER*

Photo* (MAX FILE SIZE: 5MB, but try to to reduce its file size while maintaining acceptable quality.)

Gender*

Date of Birth*

CLASS*

Whether has disability*

Type of disabilty (If Yes)

Address*

Pin*

Mobile*

Email*

Guide Teacher Details

NAME OF GUIDE*

Photo* (MAX FILE SIZE: 5MB, but try to reduce its file size while maintaining acceptable quality.)

Gender*

AGE*

Address*

Pin*

Mobile*

Email*

Copy of this form to be enclosed in the Project Written Report

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