DUY - Industry Mentor Registration

Industry Mentor Registration

Type of mentor^*

Name^*

Gender^*

Age^*

Qualification^*

Experience^*

Specialization^*

Email id^*

Email Verification^*

Mobile Number^*

Alternate Mobile Number

Address^*

City^*

State^*

District^*

Upload Your CV (PDF/DOC format - 3MB max)

Upload Profile Photo (JPG/PNG format - 1MB max)^*

Describe yourself (300 words max)

LinkedIn Id

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.