EXPERTS REGISTRATION FORM
 
Name of the Candidate *
Date of Birth *
Father / Husband's Name *
Gender *

Contact Details of the Applicant

Address Line 1 *
Address Line 2
City / Town *
PIN Code *
Enter only numeric 6 digits
District *
State *
Email Address *
Phone
STD No.
Mobile No. *
Aadhar Number
(if Available)

Qualification and Experience

Qualification *


Specify
Languages known
Read
Write
Speak
Teaching Experience Details
Material Development Experience Details
Translation Experience Details
Subject(s) / Trade(s) of specialization / handling

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Work Details

Category 
Working / Last worked Organisation Name
Organisation Address
Designation
Field of Specialisation
Already worked with / in NIMI ?
Yes No
If Yes, Specify your work details
Specify your period of association with NIMI
(Years/Months)

System Knowledge

Computer Working Knowledge
Yes No
Typing knowledge
Yes No

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