Registration form
Faculty Development Programme on "Cognitive and Technical Skills for Modern Classroom Delivery" from 20 - 24 January 2020 at Duliyajan College.
Email address *
Salutation *
Full Name (in Capital Letter) *
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Date of Birth (DD/MM/YYYY) *
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Father's Name *
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Mother's Name *
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Gender *
Designation *
Department *
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Highest Qualification *
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Category *
Name & Address of the Organization/Institute/College *
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Postal Address *
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Postal / Zip Code *
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City *
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Telephone/Mobile Number *
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E-mail
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