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Local Democracy and Welfare Entitlements: Theory, Policy, and Practice
Course Dates : March 4th to 15th, 2024 (in-person)
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Email
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Record my email address with my response
Email
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1. Full Name
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(This is the name which will appear on the Certificate of Participation)
Your answer
2. Age
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26-30
31-35
36-40
41-45
46-50
3. Gender
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Male
Female
Other
4. Place
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City
Town
Village
5. Place and State
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Your answer
6. Mobile Number
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(We will add your number to whatsApp group)
Your answer
7a. Government ID Proof
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PAN
Election Voter ID
Aadhar ID
Driving Licence
Passport
7b. ID proof Number
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Your answer
8a. Educational Qualification
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(Please write the University degree)
Your answer
8b. Area of Specialisation
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Your answer
9. Name of the organisation you represent
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Your answer
10. Your Designation
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Your answer
11. Type of Organisation
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Field-based organisation
International OR national grant making agency
Policy advocacy organisation OR Thinktank
Media
Social movement
Educational OR research institutions
Corporate Social Responsibility
Independent consultant
Other
12. Work experience (Please confirm that you have a minimum of seven years of professional experience in the Development Sector)
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Yes
No
13. Domain of work/experience (Please describe)
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Your answer
14. The medium of instruction of this course is a mix of English and Hindi. Please confirm that you are comfortable to attend the course
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No
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15. Why is participating in this course important to you?
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We wish to work on local democracy but do not have adequate perspective or domain knowledge
We work on Welfare and entitlements and we want to understand how it is connected with local democratic institutions and processes
We have field experience in working with Panchayats / Gram Sabha but do not have a broader picture
Others
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15a. If others, describe
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16. Will you need University arranged accommodation?
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(Check-in date: March 3, after 12 noon; Check-out date: Mar 16, before 12 noon)
Yes
No
17. Course Fee (including GST)
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(I am aware that if my application is accepted, I have to pay a course fee of)
Rs.19320/- (General category - with accommodation)
Rs.15000/- (General category - without accommodation)
Rs.5500/- (Field Practice Partner of Azim Premji University/ Partner of Philanthropy - with accommodation)
Rs.1180/- (Field Practice Partner of Azim Premji University/ Partner of Philanthropy - without accommodation)
I or my organisation agree to pay for to and fro travel
Confirmation
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I am aware that all other costs, including boarding, lodging, meals, and travel, have to be borne by me.
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