Training on GPINs using EPANET

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Participants Registration Form

Email *

Full Name *

Fill in your name - First Name, Middle Name (if any) and Last Name

Your educational qualification *

Write your last educational qualification with specialization. Such as, B.E. (civil engg.) or B.Sc (agrl. engg.)

Affiliation / Professional Association *

Fill in the name of your employer Organization. In case of individuals, write 'individual'

Complete Postal Address *

Fill in full postal address, which is necessary for sending participation certificates. Mention house no., district, state and PIN code without fail.

Mobile no(s). *

Give mobile number. In case a different number is used for Whatsapp, mention both numbers and indicate which one is the Whatsapp number.

Whether currently implementing any spring-based or gravity-based water supply and irrigation projects in Hill areas ? *

Write here what type of projects you are currently implementing or recently implemented and how you want to use the inputs of this training in your on-going projects

Which hill / tribal area in India you are active currently? *

Contribution payment details *

Please mention the amount (Rs.300), Transaction reference no., and date of payment. Payment to be done in favour of 'Water and Livelihoods Foundation', Bank of Baroda, Tarnaka Br., Secunderabad, SB Ac.no. 33260100007631, IFSC: BARB0TARNAK (5th character is 'zero'). Payment through UPI apps, such as, GPay, PhonePay etc. are accepted. Please use 'payment to the account' option in such cases.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms