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APLICATION FORM
SAARC Training Programme on
LANDSLIDE RISK MANAGEMENT IN SOUTH ASIA
Tri-Chandra Campus, Tribhuvan University, Kathmandu, Nepal
(Date: 02-08 May 2011)
Name: _________________________________________________________________________
Date of Birth: _____________________________________
Sex: ________________________
Address: ___________________________________________________________________
______________________________________________________________________________
Phone No.: __________________________________ Fax. No.: _______________________
Email: ____________________________________________________________________
Passport details No.: ___________________________ Place of Issue: __________________
Date of Issue: ________________________________ Date of Expiry: __________________
Education Qualification: ______________________________________________________
Current responsibility in the organization: ________________________________________
__________________________________________________________________________
What way the proposed training will help your organization: _________________________
__________________________________________________________________________________
___________________________________________________________________________
Organization Address: ________________________________________________________
__________________________ Phone no.: __________________ Fax No. :_____________
Sponsoring authority (name with signature): ______________________________________
____________________________________________________________________________
__________________________________________________________________________
For Contact Detail
P. G. DHAR CHAKRABARTI
Dr. TARA NIDHI BHATTARAI,
Director,
Head, Deptt. Of Geology, Tri-Chandra Campus,
SAARC Disaster Management Centre,
Tribhuvan Universtiy, Ghantagar,
NIDM Building, IIPA Campus,
Kathmandu, Nepal
I.P Estate, ITO Ring Road, New Delhi 110002.
Email: [email protected]
Phone: 0091-11-23705583, Fax: 0091-11Phone: 00977-1-4268034, Cell No. 0097723724051
9851107328
Email: [email protected]