Quiz for World Antimicrobial Awareness week (WAAW) 2024
Registration Form
Please register to participate in World Antimicrobial Awareness week (WAAW) 2024 conducted by National Health Mission, Assam
If already registered
Login
Personal Detail:
Name:
*
Email ID:
Gender:
*
Male
Female
Other
Age( in years):
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
District:
*
Select
Bajali
Baksa
Barpeta
Biswanath
Bongaigaon
Cachar
Charaideo
Chirang
Darrang
Dhemaji
Dhubri
Dibrugarh
Dima Hasao
Goalpara
Golaghat
Hailakandi
Hojai
Jorhat
Kamrup Metro
Kamrup Rural
Karbi Anglong
Karimganj
Kokrajhar
Lakhimpur
Majuli
Morigaon
Nagaon
Nalbari
Outside State
Sivasagar
Sonitpur
South Salmara
Tinsukia
Udalguri
West Karbi Anglong
Address:
Contact Information:
Mobile No.:
*
Confirm Mobile No.:
*
Password:
Password:
*
[length should be minimum 6 character]
Confirm Password:
*
