Registration Form
Personal Details
Title:
*
Mr
Ms
Mrs
Dr
Professor
Major
Note:
Please spell your name the way you would want it to appear on your Certificate.
First Name:
*
Last Name:
*
Gender:
*
Male
Female
Age in years:
*
Are you a / an:
*
Indian Citizen
Person Of Indian Origin
Person Of Indian Origin card holder
Overseas citizen of India
Select Type:
*
Govt. Employee
Others
Office / Residence Details
Office Details
Residence Details
Name of Organisation(Present):
(50 chars)*
Designation in Organization:
Designation under RTI(if applicable):
*
PIO
APIO
FAA
None
Name of Organisation(Present):
Designation in Organization:
Total No.of years designated as APIO/PIO/FAA (1 to 5):
*
--Select--
01
02
03
04
05
lessthan 1
Country:
*
India
Others:
please specify
Location:
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State
UT
State:
*
--Select State--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Others
Punjab
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Sikkim
Tamil Nadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
District:
*
--Select District--
UT:
*
--Select Union Territory--
Andaman & Nicobar (UT)
Chandigarh (UT)
Dadra and Nagar Haveli (UT)
Daman and Diu (UT)
Delhi (UT)
Lakshadweep (UT)
Puducherry (UT)
Address:
*
City/Town:
Village:
Pin Code:
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Contact Details
Landline(O):91+
Mobile:
Login Details
Note:
Enter your email-id correctly. E-mails would be sent to this e-mail ID.
E-mail ID:
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Alternate e-mail ID:
A) How did you come to know of this OCC_RTI
Dopt Website
CGG Website
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B) Where / How would you access this Online Certificate Course on RTI:
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Cyber Cafe
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