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PERSONAL INFORMATION |
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Name * : |
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Father's Name * : |
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Date of Birth: |
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CONTACT INFORMATION |
Address * : |
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City/Town * : |
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State/Union Territory * : |
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Zip/Postal Code * : |
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Country * : |
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Contact Numbers : |
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E-mail * : |
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Skype Id * : |
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OTHER INFORMATION |
Profile / Bio: |
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Equipment Possessed: |
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Specialisation/Interest Areas:
(Mammals/Landscapes/Macro/Birds etc.) |
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Share in 150 -200 words your prior experience (with conservation initiatives, wildlife photography and your future plans after participating the workshop) |
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ECONOMIC BACKGROUND * |
Occupation:
(Employed/Self employed/Student/Other...) |
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Dependent: |
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Yearly income *:
(including family income) |
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UPLOAD |
Upload your Photo: |
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ID Proof:
(Upload Scanned copy of ID Proof) |
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Income Proof:
(Upload Scanned copy of Income Proof) |
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REFERENCES |
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Reference 1 *: |
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Name: |
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Background: |
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Contact Number: |
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E-mail Id: |
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Reference 2 *: |
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Name: |
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Background: |
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Contact Number: |
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E-mail Id: |
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*
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* Mandatory to be filled
** For equally deserving candidates, preference will be given to those with financial constraints
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