Membership Application Form
Full Name *
Gender *
Select
Male
Female
Date of Birth *
Address *
Address Line 2
City *
State *
PIN Code *
Email *
Phone/Mobile *
Course *
Select
BTech (Agri)
BTech (Food)
MTech
PhD
Teaching
APC
Non-Teaching
Admission Number
Optional
Username *
Password *
Upload Photo (JPG/PNG, max 40KB) *
Submit Application