AIMC registration form

1. REGISTRATION FORM
Name :
Department : ID:
Father Name :
Mother Name :
Address :
Email :
Phone : Mobile:
Date of Birth:
Citizenship :
Origin :
Creative Courses, Trainings or Workshops:
Awards and Honors (if any):
Extra Curricular activities:
Personal Statement: Please use separate sheet to write a 200
word personal statement mentioning your strengths, passion and
interest regarding workshop.
Signature & Date