18th RTCM 2022 - Online Nomination Form
Last date of Registration : 05th December, 2022
Email ID: ciatsj@nirdpr.org.in
Helpline: 9848780155
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Category of the participant *
1. First Participant Name *
Enter in CAPITAL LETTERS
2. Gender *
3. First Participant ID Proof *
Aadhar Card No./ Valid DCH ID No./ NRLM Registration No.
4. Second Participant Name
Enter in CAPITAL LETTERS
5. Gender
6. Second Participant ID Proof
Aadhar Card No./ Valid DCH ID No./ NRLM Registration No.
7. Contact Number *
Whatsapp number preferrable
8. Email ID *
9. Village/ Town Name *
10. Block/Mandal Name *
11. District Name and Pincode *
12. State Name *
13. Stall booked under the category *
14. Type of Product / Technology *
15. Details of Product / Technology / Innovation for Sale cum demonstration *
16. Are you willing to do demonstrate technology? *
17. Do you require accommodation? *
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