Registration form for Azim Premji University, Bhopal Name *Email Address *Please enter your email so we can get in touch.Contact number *StateSelectAndaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar Haveli and Daman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalDistrictProgramme(s) interested in (These are programmes to be offered at Azim Premji University, Bhopal, subject to all regulatory approvals):MA in Education (Master of Arts in Education)MPH (Master of Public Health)BA History BSc BiologyTeacher Education programmesDiploma programmesShort-term continuing education programmesAll programmesAre you a:StudentPrincipal/Teacher/CounsellorParentWorking professionalOtherName of the School, College or Organisation you are associated withHow did you hear about Azim Premji University?Select an optionFrom members of Azim Premji FoundationFrom School /College TeacherFrom a FriendSocial MediaOther commentsLeave this field blankSubmit
