CONCLAVE REGISTRATION FORMPlease enable JavaScript in your browser to complete this form.Name of Organization *Address *State *Tamil NaduAndhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTelanganaTripuraUttar PradeshUttarakhandWest BengalCountry *Postal Code *Mobile No. *Email *Please tick the category to which your organization belongs: *IndustryGovernmentNGOAcademic InstituteOthers (Specify)Other SpecifyCore activity of Organization *Nomination Name 1 *Designation 1 *Mobile 1 *Email 1 *Nomination Name 2Designation 2Mobile 2Email 2Nomination Name 3Designation 3Mobile 3Email 3Submit