Registration Closed: Leveraging Technology for Good Workshop, Hyderabad
Day & Date: Wednesday, 24th July'13

Venue:
Ashray Akruti Hostel
6-3-1177/19,
B.S. Maktha,
Kundanbaghl
Hyderabad- 500016
Contact No: 08106841115 / 9502321112

Last date to register for the workshop is exceeded. Hence do not register. Drop me a mail connecit@nasscomfoundation.org to update you in our database.
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Organization Name *
(as per registration certificate)
Organisation Registration Details
Clear selection
Regn No ( Trust/Society/ Sec 25 Co)
Organisation Registration Date
Office address (including City/Town & PIN) *
Office phone (with STD code) for example: 022-26856900 *
Official e-mail address *
Is your organisation registered with the BigTech (www.bigtech.in )software donation program of NASSCOM Foundation? *
Three key programmes of the organisation
Type of beneficiaries served
Does the organisation have computer(s) in its office? *
Does the organisation has access to Internet in it's office? *
How many salaried employees are there in your organisation? *
For participating in the workshop you should have at least 5 persons working which may  include volunteers who put in a minimum of 30 hours a week
Chief Functionary’s Title *
Name of Chief Functionary *
email id of Chief Functionary *
No.of participants for the “ConnectIT workshop *
Please select number of Participants
PARTICIPANT 1 INFORMATION
PARTICIPANT 1 Title *
(Information of Chief functionary or Department Head)
Full name *
Participant Mobile
Starting with 91 and then mobile number. For example 911989207890
Participant’s Age
Participant’s Qualification *
Participant ’s Email *
Please ensure correctness as this will be the main point of communication
Designation *
Nature of work *
Only organisation's employees and volunteers who spend at least 30 hours per week can participate in this workshop..
Participant’s area(s) of expertise:
Participant has basic knowledge of social media *
Participant uses computers as a part of his/ her work *
Is participant able to train other staff in the organisation or network of the organisation? *
PARTICIPANT 2 INFORMATION
Participant 2 Title
Participant 2 Full name
Participant Mobile # ( (starting with 91 and then mobile #). For example 911234567890
Participant’s Age in years
Participant’s Qualification
Participant ’s Email address (please ensure it is correct and the account is checked daily as we will be sending all communication to this id)
Designation
Nature of work
Only organisation's employees can participate in this workshop. Volunteers who spend at least 30 hours per week are  allowed.
Clear selection
Participant’s area(s) of expertise:
Participant has basic knowledge of social media
Clear selection
Participant uses computers as a part of his/ her work
Clear selection
Is participant able to train other staff in the organisation or network of the organisation?
Clear selection
Declaration:  . *
Please select the relevant checkboxes as applicable. (if any one of the below declaration is not ticked then your organisation will be disqualified for the workshop)
Required
Name of Person filling the form *
Designation *
Organization's Twitter Handle
Organization's Facebook page
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