Two Days Workshop on " Basic Computer Orientation"
on 18th,19th March 2017 (Sat,Sun) at MADIN POLYTECHNIC COLLEGE CAMPUS, MALAPPURAM
1.Name (Full Name in BLOCK letters)
*
2.Gender
*
Male
Female
3.Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
4. Designation
*
5.Name of Library
*
6.Official Address
Street Address
Street Address Line 2
District
State
Zip Code
7.Personal Address
*
Street Address
Street Address Line 2
District
State
Zip Code
8.Office Phone
9.E-mail
*
10.Mobile Number of candidate
*
11. Whether using KOHA in your Library
*
Yes.
No.
12.Have you attended any Workshop/Seminar in Madin Polytechnic Before ?
*
Yes
No
14.Food Preferance
*
Vegeterian
Non-Vegeterian
13.Accommodation
*
Required
Not Required
14. Your Photo ( Selfie and clearless photo not accepted)
*
Register
Should be Empty: