Event Registration Form

Student Registered No / Roll No

Roll No. is required.

Date Of Birth (As per SSC)

Dob is required.

Get Details

Name of the Student

Student name is required.

College Full Name (like QIS College of Engineering and Technology)

College name is required.

Discipline

Please select discipline.

Graduation

Please select a graduation option.

College Location (Village/ Town/ City)

College location is required.

College District

College District is required.

College State

College state is required.

Department/Branch

Department/Branch is required.

Year of Study

Year of study is required.

Mobile Number

Mobile number is required.

Alternate Mobile Number

Mobile number is required.

Email (Personal)

Personal email is required.

Registration Type (Select Single/ Group)

Please select a registration type.

Number of Events Selected

Total Registration Amount

Mode of Payment

Please select a payment method.

Reference No. / UTR No.

Reference number is required.

Date of Payment

Please provide the payment date.

Upload Payment Proof

Please upload payment proof.

QISFEST 2025