EPP Form

Full Name

First NameMiddle NameLast Name
Common form for two courses

Practical English: Learning and Teaching

(Online/Classroom)

and

Basic English (Classroom only)

A separate form for group registration.

Institution Representative may first contact EPP through epp@iitk.ac.in or dasgupta@iitk.ac.in.
Which course you want to register for
Registration to classroom version is now not open.
Gender
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Mobile Number
Format: (+91) 000-000-0000.
Upload Photograph

Upload a File

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Upload Identity Proof (Aadhar / PAN Card)

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Category
The payable amount is mentioned along with the category.
Upload the Proof of the Special Category (if selected above)

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To Pay Online Go to :

http://www.iitk.ac.in/dora/donation/English_Proficiency_Programme.htm
Transaction Reference No.
Upload screen-shot of generated online receipt

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Upload Signature

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Should be Empty: