Register for a Skillshare course on SCI/SRI in Kharif Millets/Pulses: May 19th & 20th 2017

ASHA is joining hands with Chetna Organic, Living Farms, Save our Rice Campaign, PRAN and WASSAN to organise a Skillshare course in Visakhapatnam on May 19th and 20th 2017.

PLEASE READ THE ANNOUNCEMENT ABOUT THE SKILLSHARE HERE.

Application Form for SCI/SRI Workshop

• Name of the Applicant_________________________________________________________
• Full Postal Address ____________________________________________________________________________

____________________________________________________________________________

• Phone Number_______________________________________________________________
• Email Address________________________________________________________________
• Current work (in any manner you want to describe it) __________________________________________________________________________________________________________________________________________________________
• Any organizational affiliation? (If yes, details) _____________________________________________________________________________
• Details of fee payment  (Bank, Date, DD/Cheque Number, Amount) ____________________________________________________________________________
• Expected arrival and departure from Visakhapatnam (tentative, to be confirmed later) ____________________________________________________________________________

DD/Cheque to be drawn in favour of: CHETNA ORGANIC FARMERS ASSOCIATION

Please send filled forms along with course fees to:

Ramprasad Sana, Chetna Organic, D. No. 8-1-7/3, B-5, Aakruti Apartments, Balaji Nagar, Siripuram, Visakhapatnam 530 003.

For details on net transfer of course fees, email ramprasad@chetnaorganic.org.in

For any queries, please contact:

Manas @ 08105928643 or Soumik @ 08294062742

Last Date For Registration: 30/04/2017

(First Come, First Served basis)

COURSE FEES (towards training costs and includes simple shared accommodation, food, resource materials and resource persons’ costs): RS. 2500/- PER TRAINEE(Concession of Rs.500/- for women)