Full name* Gender* MaleFemale Date of Birth* Mobile Number* Whats app No.* School/Institutions Name* City AgraMathuraFirozabadShikohabadTundlaAligarhOthers Your email Teaching Experience(Years) Teaching Subject PhysicsScience Qualification DoctorateMasterBachelor Preferred Workshop Date: (Your workshop participation date may vary as per the demand of the program schedule) 21 December 202422 December 2024 Declaration: I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to adhere to the rules and guidelines of the workshop.