Enroll Form - Agri Summer School

Registration to Batch 003 extended till 17th April 2023.

AC shuttle Bus service started from Burdy to IIM Nagpur for Agri Summer School 2023.

Registration to Batch 003 extended till 17th April 2023.

AC shuttle Bus service started from Burdy to IIM Nagpur for Agri Summer School 2023.

Agri Summer School 2023
Please fill the form below

Participants Full Name

Participants Address

School Name

Studying in class

Date of birth

Tshirt size

Blood Group

Any Disease, Disability, or Allergy *

Parent’s Details

Parent’s/Guardian Name

Parent’s/Guardian Phone No.

Please list everyone who has permission to pick up your child/ward from Agri Summer School, IIM campus

Authorized Person’s Name

Authorized Person’s Phone Number

Authorized Person’s Name

Authorized Person’s Phone Number

Relation to Ward

ID proof

Participants passport size photo

Participants ID proof photo

I have read the information supplied, understood and accepted the conditions outlined in this form, and agree that my child/ward may participate in this program and related activities. Statement Policy

Participants Full Name

School

Participants Address

Require shuttle bus service

Yes No

Batch preference

Tshirt size

Blood Group

Any Disease, Disability, or Allergy *

Participants passport size photo

Participants ID proof photo

Please list everyone who has permission to pick up your child/ward from Agri Summer School, IIM campus

Authorized Person’s Name

Authorized Person’s Phone Number

Relation to Ward

Payment Option

Heads up! You will be re-directed to instamojo's checkout page where you can either enter your credit/debit card details or select your netmaking bank to complete the payment

I agree to the terms & Condition & Privacy policy.

Agri Summer School 2023
Please fill the form below

Parent’s Details

Please list everyone who has permission to pick up your child/ward from Agri Summer School, IIM campus

ID proof

Payment Option

Contact Details

Important Links

Registration closed.

Agri Summer School 2023Please fill the form below

Parent’s Details

Please list everyone who has permission to pick up your child/ward from Agri Summer School, IIM campus

ID proof

Payment Option

Contact Details

Important Links

Registration closed.

Agri Summer School 2023
Please fill the form below