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ChemSpirit 2025
Name of the Participant
Gender
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Male
Female
Non-binary
Prefer not to say
Passport and visa information (for international participants)
Passport number
Date of Birth
Place of Birth
Place of issue of the passport
Date of issue of the passport
Expiry date of the passport
Father / Husband / Legal guardian's name (As per passport)
Country of residence
Address of the participant (as per passport)
Category
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International Guests
Additional information [Any other information you would like to share. Type 'None' in case of none.]
University/Institute/Organization
Contact Number (Along with Country Code) e.g. +91-XXXXXX
Email address
Complete Address
Country Name
ZIP Code
Amount (in USD) including GST of 18%
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