Regional Executive Board – Registration – Xavier Board of Higher Education in India (XBHEI)

1. Region *

2. Full Name of the Regional President *

Full Name of the Institution (including place) *

Email - Regional President *

Confirm Email

Mobile No - Regional President *

3. Full Name of the Regional Vice President *

Full Name of the Institution (including place) *

Email - Regional Vice President *

Confirm Email

Mobile - Regional Vice President *

4. Full Name of the Regional Secretary *

Full Name of the Institution (including place) *

Email - Regional Secretary *

Confirm Email

Mobile - Regional Secretary *

5. Coordinators of the State/District (Please include Full Name | Email | Mobile | Name of the State/District of the newly elected/selected coordinators) *

Please include Full Name | Email | Mobile | Name of the State/District of the newly elected/selected coordinators

6. Institutional Representatives of each member institution (Please include Full Name | Email | Mobile | Name of the member institution *

Please include Full Name | Email | Mobile | Name of the member institution

7. Co-opted Experts - 3-5 nos. - (Please include Full Name | Email | Mobile | Area of Expertise | Name of the Institution *

Please include Full Name | Email | Mobile | Area of Expertise / Name of the member institution

8. Previous Elected Regional Executive members - (Please include Full Name | Email | Mobile | Name of the Institution *

Please include Full Name | Email | Mobile | Name of the member institution

Regional Executive Board – Registration

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