Are you an AINET member ?

Yes No

If yes, your membership Id: (Not sure of your ID? Login here)

You are registering as :

Indian or SAARC delegate
International delegate

Title: *

Full Name: (This name will appear on your conference certificate)

Gender:

Male Female
Prefer not to say

Age (Years):

Below 20 20-30 31-40 41-50 51-55 Over 55

Institution Address:

Address for Correspondence:

City:

Pincode:

State:

Mobile No:

Email:

Area(s) of your work:

Not Applicable
Primary
Secondary
Junior College (+2)
Senior College/ University
Teacher Education
Other
Other:

Teaching Experience (Years):

Not Applicable
0-5 6-10 11-15 16-20 21-25 Over 25

Are you presenting anything at the conference?

YES NO

If yes, what are you presenting?

Paper
Poster
Fast-15
Video Presentation

Are you submitting any creative work?