Enroll Now - Qriocity Platform

1 Personal Details

Student Name *

Contact Number *

Email ID *

College Name *

Department *

How Did You Hear About Us? *

Career Guidance Interest *

Placement Status *

Salesperson Name *

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Referral (Name & Phone / NA) *

2 Teammate Details

If you have no teammates, please enter NA in each field.

Teammate 1

Name *

Contact *

Email *

Teammate 2

Name *

Contact *

Email *

Teammate 3

Name *

Contact *

Email *

3 Project Details

Title Type *

Project Title *

Project Code *

Requirements Form *

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Click to upload your requirements form (PDF/DOC)

Paper Details Document *

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Click to upload your paper details document

Google Drive Link (Optional)

4 Payment Details

Total Project Amount (₹) *

Advance Amount Paid (₹) *

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Enrollment Submitted!

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Student Enrollment Form