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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

Gopal Bera
CEO
Chhanda Barik
Mobilizer
ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
Nisha Sarki
Relationship Manager
Mousumi Pal
Tele Caller
DEBIKA SUBBA
IT Co-Ordinator
PRIYA BISWAKARMA
IT Co Ordinator
ANINDITA ROY
IT Co Ordinator
Jharna Mallick
Caustomer Care Executive

Contact Info

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