Organizing Committee Member/ Resource Person Application Form Interest(Required)Organizing Committee MemberResource PersonBothAre you Member of 360 Research Foundation?(Required)YesNoI Want to become Member of 360 RFMembership No. (if available)Name of Conference/Event(Required)3-Day International Conference on the occasion of World Environment Day (5-7 June 2026)National Conference on Agricultural Innovation, Sustainability & Leadership for Future India (Feb 2026))National Farmers Day (23 DEC 2025)International Conference on Modern and Applied Physics 2026International Conference on Artificial Intelligence & Data Science (August 2026)Personal DetailsPrefix(Required)Dr.Prof.ShriMr.Mrs.MissMs.Full Name(Required)Gender(Required)MaleFemaleThird GenderDate of Birth(Required) MM slash DD slash YYYY Designation(Required)Institute/College/University(Required)Educational Qualification(Required)D. Litt.PhDPost GraduationUnder Graduation12th & BelowSpecialization(Required)Email ID(Required)Mobile Number(Required)WhatsApp Number(Required)Complete Address (Permanent)(Required) Street Address Address Line 2 District State / Province / Region Pin Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mode of Joining(Required)OnlineIn-PersonHow did you know about this event?(Required)Invitation Received from OrganisationSocial MediaGoogle/InternetWord of MouthRefer a FriendPast ParticipantOtherInterested in Awards ?(Required)YesNoName of AwardRecommended by Governing Body of 360RFUpload your Photograph(Required)Max. file size: 64 MB.Upload your CV(Required)Max. file size: 64 MB.Declaration: I hereby declare that the information provided in this form is true and correct to the best of my knowledge. I understand and agree that my name and photograph may be used for promotional purposes or shared with media for news publication related to this event. I further acknowledge that 360 Research Foundation reserves all rights to reschedule or cancel the event without prior notice.
