Registration Form
Capacity Building on PES and eGramSwaraj
May 17-21, 2021

NATIONAL INSTITUTE OF RURAL DEVELOPMENT AND PANCHAYATI RAJ,
NORTH EASTERN REGIONAL CENTRE,
KHANAPARA, GUWAHATI - 781022, ASSAM, INDIA


Note:

1. Please mention your full name in Capital letter. The name mentioned by you shall be printed in the e-certificate.

2. Please provide only valid and functional email id (write in small letter only) and mobile number. These will be used for online class login registration and all other correspondences.

3. It is mandatory to register through this online form to attend

4. Those who have already attended the training on eGramSwaraj held during March 15-19, 2021 at NIRDPR-NERC, Guwahati, need not to attend.
Full Name (In Capital Letters) *
Email (Provide your functional email Id only) *
Mobile Number *
Category of Trainee *
Gender *
Designation *
Name of Organization and Full Address with district and state *
Caste Category *
Age *
Educational Qualification *
Did you attend the training on eGramSwaraj conducted at NIRDPR-NERC, Guwahati during March 15-19, 2021 ? *
Please mention the Name & Designation of your Nominating Authority *
Submit
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