Application Details

Application Form

Course Name
Groundwater Quality Monitoring and Assessment, September 13 - 23, 2021 (virtual) Near Surface Shallow Seismic Techniques-Applications, October 25 to November 4 2021 (Virtual)
Name of the Participant
Father/Husband's Name
Date of Birth
Age
Gender	Male Female Transgender
Category	General OBC SC ST
Nationality
Designation/Present Status
Area of Research/Interest
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How this training program will affect your scientific carrier
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Mailing Address
Email id
Mobile Number	+91

Educational Qualifications (Graduation Onwards)

Course	College/University	Subject	% of marks	Year of Study

Experience

Employer Name	Date of Joining	Date of Leaving	Post Held

Any training program attended at NGRI
(if Yes, Please provide the details)

Yes NO

Any other relevant information

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Category of Participation (Please tick)

Diploma	Graduate Student	Master's Student
Ph.D. Student	Faculty	Industry

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Upload Certificates:

Certificates to be uploaded:
(in the order of whichever is applicable)

(as a single PDF file not more than 15 MB)

1. Proof of age
2. A copy of last examination passed
3. ID & Address proof
4. No objection certificate from Institute/employer

I hereby declare that, all the particulars made in the application are true to the best of my knowledge and belief. In the event of any information being found false at any stage, my candidature is liable to be rejected.

For Further Details

Dr. A.R. Bansal, Principal Scientist, Ph: 040-27012332 I e-mail: skills@ngri.res.in

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