training-form

A. Date Preference (Please tick any one):Any other exclusive date/s may be fixed for any organization with committed minimum 20 numbers of participants - Please call for more details

SLW(R)M Batch 4: 17-19 May 2018.SWM Batch 1: 20-22 June 2018

B. Represantaion Form (Please tick Category)

State/NationalGovernmentCity/District AdministrationNGOs/Community Based OrganizationsDonorINGO

C. Name of the participant (IN CAPITAL)*     

D. Name of the Organization*                          

E. Designation*                                                   

G. Education:*                                                    Gender MaleFemale

H. Mobile number*                                             

I. Email ID*                                                          

J. Other contact number/s*                             

K. Website:*                                                         

L. Address for correspondence*                      

M. Years of Experience & sector*                   

N. Any other relevant information                   

O. Payment Details Payment Mode Bank TransferCheque / DDTo be Paid Later

                                                  

P. Travel plan (to be organized by the participant)
                                                  

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