Prefix. *SelectMr.Mrs.Ms.Ar.Er.Dr.Prof.CAName *FirstMiddleLastE-mail *Phone No. *Current AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryAreas of InterestPoliticsArts & CultureResearchEducation PhilosophyEconomyFilms & MusicPublic PolicyPeace & ConflictHistory & HeritageSportsSocial ServicesScience & TechnologyEnvironmentLiteratureWhich workshop are you Interested in?Date (Kindly choose the correct date month & year of the desired workshop) *Topics *SelectA Short Story of Life Basic understanding of cosmosHuman EvolutionScale of Distances The Story of earthSub-atomic and Quantum worldHuman Civilizations The Cosmos Majesty of SpaceAstronomyStar Gazing [with telescope, night time]Solar SystemBeyond the SunRationality, Science and Religion [philosophy of life]Towards a better tomorrow Mind games West and Science India and ScienceIslam and ScienceImpacting Inventions Evolution of Rationality Religion Effective time managementExecutive effectivenessPrecision WritingI.T. for managersPower use of Microsoft Excel Power use of Microsoft Word Executive Computing What are you doing Currently?SelectPursuing GraduationPursuing Post-GraduationWorking Professional-BusinessHomemakerPreparing for Advanced StudiesWorking Professional-JobPreparing for Competitive ExamsOtherOtherHow did you come to know about Majlis? *SelectPostersFriends or FamilyDirect E-mailNewspapersSPRAT WebsiteGoogle FacebookLinkedInTwitterInstagramOtherOther * Fee Payment 1) Mode of Payment *SelectPaytm GooglePayAmazonPayChequePhonePeBHIM Cash2) Transaction ID / Cheque No. * Cheque/DD of fee/donation may be drawn in favour of SPRAT payable at it's Ahmedabad office. PayTM at: 8401326760Rs.100 payable at SPRAT office, Ahmedabad two days prior to the workshop.PhoneSubmit