DUY - Participant Registration

Bootcamp Registration

Select the Location for Participation^*

Have you registered for any DUY Program earlier?^*

Enter Registered Email Id / Reference Number^*

Email Verification^*

Personal Details

Name^*

Age^*

Gender^*

Category^*

Email id^*

Email Verification^*

Mobile Number^*

Address^*

City^*

District^*

Samarth Id

Upload most recent passport photo (JPG/PNG format - 1 MB max)

Source of Family Income^*

Institutional Details

Are you a student of ?

District of the Institute^*

Name of the Institute^*

Level of Education^*

Year of Education^*

Enrolment Year^*

Enrolment Number

Discipline Enrolled ^*

Subjects

Do you have any innovative / startup idea? ^*

Your registration form submitted successfully.
Thank you!

Note: Please feel free to write at duy-uttarakhand@ediindia.org or call at 8707728907 in case of any concern regarding form submission.