Name of the Expert* |
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Gender* |
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Date of Birth* |
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Identification Document*
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Email Id* |
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Telephone Number |
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Address For Communication* |
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Highest Qualification (Exam Passed) |
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Area of Expertise |
Primary Expertise* |
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Additional Expertise(Ⅰ) |
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Additional Expertise(Ⅱ) |
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Brief note on Expertise (Maximum 100 Words) |
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Current Occupation |
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Current/Last Employment Details |
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District Prefered for Working |
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Local Body preference in the District if any |
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Achievements/Contributions/Innovations if any (Maximum 50 Words) |
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Papers Published if any (Maximum of 10 papers in maximum 50 Words) |
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