d r muthuraj, principal scientist ias participatory/group ...€¦ · participatory/group...
Post on 03-Aug-2020
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APPLICATION FORM
MANAGE- ICAR-CTCRI COLLABORATIVE TRAINING ON INNOVATIVE EXTENSION APPROACHES FOR HORTICULTURAL CROPS
WITH SPECIAL REFERENCE TO TUBER CROPS (19-22, NOVEMBER 2019)
1. Full Name in CAPITAL letters
2. Designation
3. Present employer and Address
4. Address for communication
5. Email
6. Mobile
7. Date of Birth and Age
8. Gender (Male/Female)
9. Teaching/Research/Extension/Professional
experience (No. of years)
10. Academic records (Degree onwards) Examination passed, subject, year and University
11. Expectations from the training
Signature of the participant with date and place:
Recommendations and certificate of sponsoring Institute (Signature with date, Designation and Office Seal)
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