Qualitative Research for Community Upliftment - Modular Programme cum Webinar Series- Registration Form  
Kindly fill the Registration form. You will receive an intimation mail if you are selected.
 
Email *
Webinar Title (kindly select the webinars you wish to attend) *
if you select all the webinars, you need to submit permission / authorization letter from concerned authorities (i.e. Principal/Head/immediate reporting officer) and a project report (topic to be assigned by the course coordinator) for getting the modular certificate
Required
Salutation *
Name of Participant   [As to appear in Certificate] *
 Date of Birth *
MM
/
DD
/
YYYY
Gender *
Category *
Are you belonging to EWS (Economically Weaker Section) *
Person with disability(PWD) *
Department *
 Designation *
Name of the Institution with city / town name: *
Ex: Central Polytechnic College, Chennai
City *
Pincode *
State *
Type of Institution *
 Category of Institution *
Mobile Number *
How did you come to know about this training programme? *
Required
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