Name

:

Age

:

(Age should be <=55 please)

Gender

:

Male Female

Qualification

:

Residential Address

:

 Residential State

:

Andaman & NicobarAndhra PradeshArunachal PradeshAssamBiharChattisgarhDelhiDIUGoaGujaratHaryanaHimachal PradeshJammuJharkhandKarnatakaKashmirKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPondicherryPunjabRajasthanSikkimTamilnaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Employment (Government / Private)

:

Government Private

Presently Working Department

:

Agriculture Horticulture Animal Husbandry Fisheries Dairy Sericulture Marketing KVK/University Others

Office Name

:

Designation*

:

Official Address*

:

Official State

:

Andaman & NicobarAndhra PradeshArunachal PradeshAssamBiharChattisgarhDelhiDIUGoaGujaratHaryanaHimachal PradeshJammuJharkhandKarnatakaKashmirKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPondicherryPunjabRajasthanSikkimTamilnaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Official Telephone (Landline)

:

Residential  Telephone (Landline)

:

Mobile

:

Email*

:

Area of specialization (choose any one of the following topic)