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Nada Young India Network (NYIN) Meeting
Closed meeting for NYIN members only to discuss about youth wellbeing related issues and setting agenda for the year 2021.
Kindly register with this form and we will share the meeting link and meeting schedule shortly.
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Are you a current or past NYIN member?
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Yes
Name/ नाम
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Your answer
Sex / लिंग
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Female
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Prefer not to say
Other:
Date of birth / जन्म की तारीख
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MM
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DD
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YYYY
Email ID
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Contact number (Whatsapp)/ संपर्क नंबर (व्हाट्सएप)
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Your answer
Contact number (Call)/ संपर्क नंबर (कॉल)
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Your answer
Your location of residence (State)/ आपका निवास स्थान (राज्य)
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Choose
Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Chandigarh
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Jammu and Kashmir
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Puducherry
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Your Location (City)/ आपका स्थान (शहर)
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Your answer
Your university/ school/ organization name
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Your answer
Highest qualification / उच्चतम योग्यता
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If you are still a student select the qualification you are currently pursuing; If you are working select the qualification you recently completed.
8th
9th
10th
11th
12th
Under Graduate
Under Graduate Diploma
Post Graduate
Post Graduate Diploma
Highest degree pursued / उच्चतम डिग्री पीछा किया
*
(Example: BA, B.TECH, BBA,
B.COM
, BSW, MSW, MBA, PGDHM etc.)
Your answer
Area of specialisation / विशेषज्ञता का क्षेत्र
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Your answer
Current/ Recent university / वर्तमान / हाल ही में विश्वविद्यालय
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Provide your Instagram ID
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Provide your FB ID
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Provide your LinkedIn ID
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Provide links to any other social media accounts, if any
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Read and agree to terms & conditions/ नियम और शर्तों को पढ़ें और उनसे सहमत हों:
https://youthforwellbeing.org/resources
*
I hereby declare that I have never engaged with the tobacco, alcohol, unhealthy commodity or arms industries. I also give my consent for my full participation at the forum and bring out my opinions. / मैं इसके द्वारा घोषित करता हूं कि मैंने कभी भी तंबाकू, शराब, अस्वास्थ्यकर वस्तु या हथियार उद्योगों से सगाई नहीं की है। मैं मंच पर अपनी पूर्ण भागीदारी के लिए अपनी सहमति भी देता हूं और अपनी राय सामने लाता हूं।
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