LinkABILITY                                                        Job Oriented  Preparatory Workshop :  Thursday 14  to Monday 18 February 2019 at Coimbatore                                                                                                                          
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 Note :
1. LinkABILITY  is for graduates with disability born on or after 1 January 1980
2. LinkABILITY  is provided free of cost.
3.    LinkABILITY  is from 9.30 AM to 5. 30 PM on all days.
4. Refreshments & lunch will be provided free of cost on all days.
5. The organisers WILL NOT bear any other expenses of the participant.
6.     Last date to submit the form is Friday 1 February 2019.

                                                REGISTRATION FORM
NAME
DATE OF BIRTH
MM
/
DD
/
YYYY
MOBILE NUMBER *
TEL NUMBER
EMAIL ID *
ADDRESS *
District/City *
State *
QUALIFICATION *
STREAM   (for eg: Commerce, Computer Science, Electrical Engineering etc) *
YEAR OF PASSING *
ARE YOU EMPLOYED *
If yes, total work experience in years and months
Name of the company where currently/last employed
NATURE OF DISABILITY
DETAILS OF DISABILITY *
REASONABLE ACCOMMODATION NEEDED, IF ANY (eg: sign language interpreter, ramp etc)
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