CEMCA: CR State Level Consultation Registration Form

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8/4 Sarv Priya Vihar, New Delhi - 110016
Telephone: +91-11-2653 7146, 2653 7148
Fax No.: +91-11-2653 7147 eMail: admin@cemca.org

Registration Form
State level consultation
on Community Radio awareness

Place:

Type of Session:

CR Awareness Capacity Building
Screening committee meeting

Name of the institution:

Category:

If Educational
The type :

Aided?

State Aided Self Financed

Who is Representating(Name)

Designation:

Address:

Pin Code:

State:

Country:

Phone:

Fax:

Email:

Would like to avail accommodation if available?

Yes No

Enter the Letters you see in the box:

DRZSBK

Message:

State Level Consultations:

10. Tenth State level consultation, capacity Building and screening commitee meeting - for Uttarpradesh at IIT, Kanpur (26th and 27th March,2010)