1. College / School Name :

2. Name of student / professor :

3. Email ID :

4. Contact no :

5. Designation (If Any):

5. City :

6. Highest Qualification :

7. Gender :
MaleFemale

8. Linkedin Link :

9. What is your idea/ Why would you like to join :

10. Share your 60 sec pitch link ( Youtube link ) :

What support you want :

Event Name :
---Launch of Women Empowerment Cell 18th December at 5 PM Onwards(Virtual)