Deccan Education Society's

Brihan Maharashtra College Of Commerce (Autonomous), Pune


National Participant Registration Form (Page 1/2)

INSTRUCTIONS:

1) The form can only be filled once.
2) Each form should have unique email address.
3) The email address should be working or active as the participation certificate would be emailed to the participant.
4) Participation fee is Rs. 80/- per solo event and Rs. 150/- per group event unless otherwise mentioned.
5) Registration once confirmed after the payment, will not be cancelled.
6) The participant has to tick the event(s) he/she wishes to participate in; accordingly the total amount would be calculated automatically.
7) Pay through any bank payment gateway.
8) Scan the image of your payment receipt and keep the file size minimum, that is, less than 2MB. JPG, JPEG, or PNG image file formats ONLY are acceptable.
9) Note that the student who has done the transaction would put his/her details first and details of other members can be added by clicking Group option in the TYPE.

ACCOUNT DETAILS FOR PAYMENT:

BANK NAME: Bank of Baroda
BRANCH: Bhandarkar Road, Pune
ACCOUNT NUMBER: 98110100007651
IFSC CODE: BARB0BHAPUN (Fifth character is zero)
ACCOUNT HOLDER NAME: Principal, BMCC DES Central Acct

Fields marked * are compulsory.



AGE: * 15-26 yrs Above 26 yrs

Note: Write the name below as it should appear on the Certificate.

NAME OF THE PARTICIPANT: *        CONTACT NUMBER: *

WhatsApp NUMBER: *         EMAIL ID: *


I AM FROM * Deccan Education Society's BMCC
Deccan Education Society's College Other Than BMCC
College Other Than Deccan Education Society's College

COLLEGE NAME: *

(Please fill N/A if you are not a college student)

ARE YOU RESIDING IN PUNE? * Yes     No

STATE YOU ARE CURRENTLY RESIDING IN: *

PARTICIPATION AS: * Solo Group