Home

Vision

Objectives

Programme

Target groups

Training Calendar

Contact us




 

Development Alternatives Phone : (0517) 2707368, 2707477
1087, Civil Lines, Jhansi - 284 001 Fax : (07680) 252894 
 email : tara_gram@yahoo.com

.

NOMINATION FORM

1.0 Programme :

       1.0 Title ..............................................................................

       1.2 Dates From.............................to.....................................

       1.3 Venue ..............................................................................

2.0 Participant :

      a. Name ..............................................................................

      b. Age ..............................................................................

      c. Occupation:  Employed / Self-employed / Entrepreneur

2.2 Self employed / Entrepreneur :

       a. Nature of self employment / Entrepreneurship...............................

          ................................................................................................................

       b. Experience : (Year/Months).................................................

2.3 Employed :

      a. Designation ..............................................................................

      b. Area of responsibility......................................................................

      c. Description of responsibility (brief).................................................

      d. Name and designation of the executive/functionary to whom

      you report.......................................................................................

2.4 Qualification :

................................................................................................................
 ................................................................................................................ ................................................................................................................

2.5 Work Experience :

................................................................................................................ ................................................................................................................ ................................................................................................................

2.6 Experience in the area of the above training programme :

................................................................................................................ ................................................................................................................ ................................................................................................................

2.7 Previous Participation in Training Programme organised by DA :

................................................................................................................ ................................................................................................................ ................................................................................................................ ................................................................................................................
   Tittle :                                                              Dates :

........................................                      ........................................

........................................                      ........................................

........................................                      ........................................

........................................                      ........................................

2.8 What are your expectations from the programme :

                   ...................................................................................................................
                   ...............................................................................................................
                   ...........................................................................................................................

Date: ...........................                            Signature:............................

                  ...........................................................................................................................

2.9 * * Nominating Authority :

3.1   Name:.............................................................................................

3.2   Designation :..................................................................................

3.3   Name & Address of the organisation:............................................

         .......................................................................................................

         ........................................................................................................

         ..............................................Pin ...................................................

Phone:................................(Office) .....................................(Residence)

Fax:.......................................E-mail:.......................................................

 

 

We enclose Demand draft No............................................. Dated............................

of Rs. .......................(In words.................................................................................)

as registration fee, drawn in favour of Development Alternatives payable at Jhansi. We would ensure fullest utilization of the enhanced capacity (through the above training) of our nominated staff and agree to fully cooperate with training organisers in monitoring its effective utilisation.

Date : ..............................

Signature and seal of

the nominating authority : ......................................

* * Not applicable for self-employed / entrepreneurs.




Training Systems Group
Development Alternatives, 1087, Civil lines, Jhansi -284001
Ph. 0517-2707368, 2707477, Fax- 07680-252894, Email: tara_gram@yahoo.com
© and ® 2000 Development Alternatives, All rights reserved.