• TSU Application Form

    Application Format for Empanelment of External Resource Persons for Professional Development and Capacity-Building Programme for PACS Secretaries, Gujarat. Please provide concise and specific information. The information submitted will be used only for assessing suitability for the resource-person panel and possible future session assignments.
  • Personal Information

  • Format: 0000000000.
  • Educational Qualification*
    Rows
  • Relevant Professional / Work Experience
    Rows
  • Cooperative and PACS Experience

  • Have you worked directly with / supervised / supported PACS?*
  • Training / Teaching / Facilitation Experience
    Rows
  • Proposed Areas / Sessions for Contribution - Please identify the areas in which you can contribute as a resource person. You may select more than one and add others where relevant.*
  • Brief Statement of Suitability

    In not more than 150 words, please describe your understanding of PACS functioning and the value you can bring to the capacity-building programme for PACS Secretaries.
  • Willingness to travel to district / field locations*
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  • Declaration and Applicant Details

  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: