REGISTRATION FORM

Jaipuria Institute of Management, Indore

Indore-Dewas Highway, Near Shipra Naka, Dakachaya, Indore (MP)
City Office: 101, Sapphire Heights, AB Road, Indore
12 - 14 FEBRUARY 2015
Name of the Institute:
..............................
Event Participating in:
...............................
Name of Participants:
1) .Contact No: ..Email-id....
2) ..
3) ..
4) ..
5)
6)
7)
8) ..
9)
10).
Name of Faculty Coordinator ........................................................................
Contact no................................................... Email ......
Signature of Faculty Coordinator:

Date: .....

For More Details:

Gaurav Sharma: 09406602572; Kushal Pathak: 07275082578
Email Id: jaiutsav@jaipuria.ac.in