National Space Club

PERSONAL DETAILS

Full Name (as you want on certificate) *

Email Address *

Mobile Number *

Date of Birth *

Gender *

Male Female Other

City *

State *

Country *

ACADEMIC / PROFESSIONAL DETAILS

School / College / University / Organization Name * Class / Course / Department * Qualification / Profession *

NATIONAL SPACE CLUB (NSC) MEMBER DETAILS

Are you a National Space Club (NSC) Member? * Yes No

If Yes, Enter Your NSC Membership ID

REGISTRATION & FEE DETAILS

General Participants ₹250/-

NSC Members ₹100/-

(NSC Membership ID is mandatory for concession)
* Registration Fee is non-refundable

Registration Opens 06th July 2026

Last Date to Register 18th July 2026

CONSENT & DECLARATION

🎖️

E-Certificate of Participation will be provided to all registered participants.

🔔

Seats will be allotted on a first-come, first-served basis. Registration will be confirmed only after successful payment.

🛡️

Your details will be used strictly for workshop communication and will not be shared with any third party.

REGISTRATION FORM