SAE NIS
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SAE NIS EFFI-CYCLE 2018

TEAM REGISTRATION FORM

Mandatory Fields Not mandatory Fields

Institute Details:

Institute Full Name *
(use initials only when used in registered name of institute)
This field is required
Full Address *
State *
Institute Website *

Collegiate Club Bank Account Details:

SAE Collegiate Club Name *
Club Bank Account No. *
Bank Name *
Branch *

Reference Contact Person Details:

Name *
Designation *
Email ID *
Mobile *

Faculty Advisor Details:

Name *
Designation *
Department *
Educational Qualification *
SAE Membership Number *
Email ID *
Mobile Number *
Postal Address *

Team Facilitator Details:

Name *
Gender *
Branch *
Year of Passing *
Efficycle Participation Experience *
Other SAE Events Experience *
Email ID *
Mobile Number *

Team Size *
Team Category *
* New Teams: If the college is participating for first time in Efficycle competition, ** Old Teams: If the college has ever participated in Efficycle since 2010.
Team Email ID *

Team Details:

Team Captain
Name *
Gender *
Branch *
Year *
SAE Membership No. *
Email ID *
Mobile Number *
Vice-Captain
Name *
Gender *
Branch *
Year *
SAE Membership No. *
Email ID *
Mobile Number *

Declaration by Team Captain:

I have read all the details carefully. The details provided in this form are true to best of my knowledge. I am aware that if any discrepancies are found in the above details, Efficycle Organizing Committee can take strict actions against the team at any stage of event without any prior intimation to the team.


Date

Signature of Team Captain

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