Rethinking Development
Six days course for development practitioners : Nov - 11 to 16, 2019
Email address *
1. Full Name *
(This is the name which will appear on Certificate of participation. Please type carefully)
Your answer
2. Age in years *
3. Gender *
4(a). Postal address *
Your answer
4(b). Postal address - City *
Your answer
4(c). Postal address - State *
Your answer
4(d). Postal address - PIN coded *
Your answer
5. Mobile Number *
Your answer
6. Please enter a valid ID type *
7. Please enter a valid ID number *
Your answer
8(a). Educational Qualification *
8(b). Area of Specialisation/discipline *
Your answer
9. Name of organisation (you are currently working with) *
Please Type Full Name (No abbreviations)
Your answer
10. Organisation’s Website address (OR) Registered address *
Your answer
11. Your Designation *
Your answer
12. Type of organization *
13(a). Your work Experiences *
13(b). Sector or Domain of work/experience *
Your answer
14. The medium of instruction is in English. Please confirm that you are comfortable to attend the course. *
15. Why is rethinking development necessary?: (Please answer within 500 words) *
Your answer
16(a). Will you need University arranged accommodation? *
16(b). If you need accommodation, please specify – Date and Expected time of arrival *
Your answer
16(c). If you need accommodation, please specify – Date and Expected time of departure *
Your answer
17. How did you hear about this course? *
Confirmation *
I am aware that all other costs, including boarding, lodging, meals, and travels, have to be borne by me. (I am aware that if my application is accepted, I have to pay a Fee of)
Registration Fees payment
If your application is accepted, we will email payment instructions to the email ID provided in this form.
Never submit passwords through Google Forms.
This form was created inside of Azim Premji University. Report Abuse - Terms of Service