NOMINATION PROFORMA
TITLE OF TRAINING PROGRAMME : …………………………………………………………..
DURATION : ………………………………………………………………………………………
NAME OF THE CANDIDATE: …………………………………………………………….…
DESIGNATION : ………………………………………………………………..………………
COMPLETE OFFICE
POSTAL ADDRESS : ………………..…………………………………………………………
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CONTACT NO. : ……………………… EMAIL ID : ………………………………………..
AADHAR No. : …………………………………………………………………………………
ACCOMMODATION REQUIRED IN CRRI GUEST HOUSE DURING TRAINING :
YES / NO
DETAILS OF SPONSORING ORGANISAITON :
NAME : ……………………………….……………………………………………………….......
POSTAL ADDRESS : ……………………………………………………………………………
…………………………………………………………………………………………………...…
GST NO. (IN CASE OF SPONSORED) :
EMAIL ID. : …………………………………………………………………………………..…...
DETAILS OF PAYMENT (COURSE FEE) :
1. TRANSACTION REF. NO. : ………………………………
2. DATE OF TRANSACTION : ………………….…………..
3. AMOUNT OF COURSE FEE: ………………….…………
DATE :
SIGNATURE OF CANDIDATE
SIGNATURE & SEAL OF SPONSORING AUTHORITY