Department of Management Sciences (DoMS) Indian Institute of Technology Kanpur

Please complete the following form to register for the Regulatory Conclave.


Registration Form

Salutation*
First Name*
Last Name
Date of Birth
Gender*
  
Organization*
Designation*
Phone No.
Mobile No.*
Twitter Profile Page Link
LinkedIn Profile Page Link
Email
Password*

I agree that the above contact details can be used for further communications from CER and authorise CER to use my photograph for official purposes, including promotional and informational materials for
publication in all forms, including social media.

For any help, please contact: (0512-259-6448)