PIR Registration Form

Practical English: Learning and Teaching

More details at http://www.iitk.ac.in/epp/Contacts/Partner_institute.html

Partner Institution Representative (PIR) Form
Name of the Institution:*
Name of the PIR:*

Mr/Ms/Dr/ProfFirst NameMiddle NameLast Name
E-mail Id:*
Mobile Number :*
Authorization letter:*

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Identity Proof :*

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Photograph:*

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Should be Empty:

Practical English: Learning and Teaching