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Register - The Indian Stammering Association (TISA)
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* Indicates required question
Name (नाम)
*
Your answer
Gender (लिंग)
*
Female
Male
Other:
Mobile Number (Preferably WhatsApp) मोबाइल (व्हाट्सएप्प)
*
If you are an NRI, kindly write with prefixed country code, as can be reached on WhatsApp.
Your answer
Email ID (Preferably Gmail) ईमेल
*
Your answer
Secondary Contact Number for emergency (इमरजेंसी के लिए वैकल्पिक फ़ोन नंबर)
*
Kindly give contact number of your family or close friend. कृपया अपने परिवार या करीबी दोस्त का नंबर दे।
Your answer
Date of Birth
*
(जन्म तारीख)
MM
/
DD
/
YYYY
State (राज्य)
*
Choose
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District (जिल्ला)
*
Your answer
Is there a TISA SHG in your city / town / locality?
*
क्या आपके शहर/एरिया में टीसा SHG है?
Yes
No
If yes, how often do you attend SHG meetings?
*
अगर हां, आप कितनी बार मीटिंग में भाग लेते है?
I don't have SHG (मेरे एरिया में SHG नहीं है।)
Not active at present (फ़िलहाल में नहीं भाग ले रहा/रही।)
Occasionally (कभी कभी)
Sometimes, when I find time (जब भी समय मिले तब।)
Very regularly (नियमित तौर पर)
Have you participated (online or offline) in any of these TISA Events?
*
क्या आपने टीसा की किसी एक्टिविटी (ऑनलाइन या ऑफलाइन) में भाग लिया है?
Communication Workshop (कम्युनिकेशन वर्कशॉप)
National Conference (नेशनल कांफ्रेंस)
MOOC (मूक)
Hangouts (वीडियो कॉल मीटिंग)
None of the above (इन मेंसे कुछ भी नहीं)
Required
What do you do? (आप क्या करते है?)
*
Your answer
Would you like to volunteer for TISA? How?
क्या आप टीसा के लिए अपने समय का योगदान देना चाहेंगे? कैसे?
Your answer
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