National Institute of Public Cooperation and Child Development,

5, Siri Institutional Area, Hauz Khas, New Delhi - 110016

Online Training Programmes for Promotion and Use of e – learning Course

for Functionaries of Anganwadi Services Scheme
3 October 2020
(3.00 p.m. – 5.00 p.m.)

REGISTRATION FORM
01 a. Name of participant S.JENIFARGRACE
(in English)
b. Name of participant (in Hindi)
c. Sex FEMALE
02 Designation CHILD DEVELOPMENT PROJECT OFFICER
03 Date of Joining in the present 22.01.2016
post
04 Name of ICDS Project ICDS- MANNARGUDI BLOCK
05 Name of the district THIRUVARUR
06 Name of the State TAMILNADU

07 Type of project: RURAL

Rural/ Urban / Tribal
08 Official Postal Address ICDS OFFICE- NEW ROAD SERANGULAM, MUTHUPETTAI
ROAD, MANNARGUDI, THIRUVARUR -614016
09 Aadhaar Number 629643907301
10 Office Telephone 04367-227109
11 Telephone-Residence Nil
12 Mobile Number 9940332103
13 Email address tweetyjeni.s@gmail.com
14 Date of birth 03-03-1988
15 ICDS working experience 4years.8month
( in completed years)
16 Educational Qualification +2
17 Professional Qualification M.sc,M.phil.,
18 Subject in Post Graduation FOOD an NUTRITION
19 Caste details BACKWARD CLASS
20 Date and time to join this 03.10.2020
training Time-3.00pm to 5.00pm
21 Departure date and time from -
this training

Signature of the participant with date