Application Form - FDPOM 30 & FDPOM 35 - FDPOM 40
Kindly fill the application form by selecting the Course Code and Title. You will receive an intimation mail if you are selected for the FDPOM.
 
Email *
Course Code and Title *
Salutation *
Name of Participant *
 Date of Birth *
MM
/
DD
/
YYYY
Gender *
Category *
Are you belonging to EWS (Economically Weaker Section) *
Person with disability(PWD) *
Department *
 Designation *
Have you attended any online FDPOM conducted by NITTTR, Chennai (April 2021 to June 2021)? *
 If so, please select how many programmes you have attended? *
Name of the Institution *
Type of Institution *
 Institution category *
Institution  Address *
City *
Pincode *
State *
Contact Phone / Mobile *
Years of Experience -Teaching *
Years of Experience - Research *
Years of Experience - Industry *
Will you be able to submit deputation order or permission / authorization letter from your organisation ? (Kindly obtain deputation order or permission/ authorization letter from concerned authorities (i.e. Principal/Head of the Department/ Immediate reporting officer) *
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