NOMINATION PROFORMA FOR E-TRAINING / WEBINAR

Name of the Programme
Duration
Venue
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Title (Dr, Mr, Mrs, Ms)		Name (As per passport)
Gender		Date of Birth
Present Mailing Address
Address
Tel.(office)		Tel.(Resi)
Mobile/Handset Number
Email ID		Country
Educational Qualification
Name of the University/Institution	Duration From and To		Degree and Academic	Major Subjects




Employment Record
Current Position		Date of Joining
Name of Employer:		Affiliation:
Duty station:
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