Online Course
Information Gateway on Agriculture to Convert "Know How To Do How"
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Batch
Full Name
*
Course selected
*
Select Course
Organic Agricultural Management
Date of Birth
*
Select Date
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Janaury
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Contact Address
*
Please check if your permanent address is same as contact address
Permanent Address
*
Gender
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Select Gender
Male
Female
Marital Status
*
Select
Single
Married
Father's / Gaurdian's Name
Where are you staying now?
*
Mention the state if you are residing in India/ Name of the Country if you are staying outside India
Phone (with code)
E-Mail Id
*
Mobile
Highest Qualification
*
Which Kerala district you prefer for contact classes?
Select District
Thiruvananthapuram
Kollam
Kottayam
Alappuzha
Pathanamthitta
Ernakulam
Thrissur
Malappuram
Kozhikode
Kannur
Wayanad
Kasaragod
Idukki
Palakkad
Your present study/Work status?
(a) If student
i)Name of course
ii)Institution
(b) If Self Employed
(Mention details)
(c) If business
(Mention details)
(d) Agriculture
(Mention details)
(e) If any other
(Mention details)
If employed
Organization
Designation
Duration
Payment details of tuition fees Rs. 6500/- (Rs. 3250/- for the students doing any course)
Transaction ID/Account Holder Name/Account No.
*
Transfer Date
(dd/mm/yyyy)*
Bank Branch
*
Amount
*
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