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One-Month Certificate Course on Child Protection - Application Form
Name:    
Sex:    
Age:    
Designation:    
Organisation:    
Year of establishment:    
Street Address:    
Name of Organisation Head with designation:    
Phone:   Office : Residence:
Fax::   Office : Residence:
Email:   Official: Personal   :
Website (if any):    
Educational Qualification:    

(Full particulars about degree obtained, such as Masters in Sociology, etc.)

Technical (if any):    
Years of Experience in the field of Child Protection and Juvenile Justice:    
Date of start of work in any NGO in the field of Child Protection:    

Date of Joining the present organisation:    
Trainings attended:    
Name of the Course (s):    
What are the training needs of your organisation?:
    


Write a short note on how the One-Month course on Child Protection would help you in your current work? :
    
(Only the nominated participant should answer this section. The participant may conduct a brainstorming exercise with other functionaries of the organisation to identify the training needs. If the space is not enough, please attach an additional sheet. The question can also be answered in HINDI.)

Any other comments or suggestions you would like to give.
    
(Only the nominated participant should answer this section. If the space is not enough, please attach an additional sheet. The question can also be answered in HINDI.)

I hereby declare that all the information provided by me in this format is true. I am prepared to stay continuously for the course without any absenteeism. I will report on time for each session and will not leave training venue without the permission of Course Coordinator.
   


 


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  Last modified on 23rd July 2008