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CENTRAL AND STATE GOVT VARIOUS MINISTRY/DEPARTMENT EMPANELMENT AND REGISTRATION


Form - Department Of Science And Technology(Registration)

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Total Expenses : Rs 2950/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

INSTITUTE DETAILS

Institute Name
Head of Institute
Institute Email
Landline No.
Website
Institute Full Address with Pin No

SPONSORED INFORMATION AND FINAL SUBMISSION

Sponsored Name * Yes No
If Yes, Give the Sponsored Username

APPLICANT BASIC DETAILS

Identity Proof *
Identity Proof No *
Applicant Caste Category *
NAME *
DESIGNATION *
DATE OF BIRTH *
(dd/mm/yyyy)
GENDER * Male Female Trans Gender
FULL ADDRESS WITH PIN NO *
MOBILE NO *
E-MAIL ID

Our Team

Rabina Kumari Sharma
IT Co Ordinator
Kiran Bala Dey
Caustomer Care Executive
PRIYA BISWAKARMA
IT Co Ordinator
ANINDITA ROY
IT Co Ordinator
Mousumi Pal
Tele Caller
ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
DEBIKA SUBBA
IT Co-Ordinator
Chhanda Barik
Mobilizer
Nisha Sarki
Relationship Manager
Gopal Bera
CEO

Contact Info

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