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

Click Here for Trades Info  Simply Copy and paste from list

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

Bank Details

Name as in Bank Account
Account Type
Account Number
Bank and Branch
Bank IFSC Code
PAN Number of Applicant

I Accept to follow the norms and procedures for the media development at NIMI