prescribed proforma. bio-data may also be furnished to undersigned
TRANSCRIPT
File No.U-l I 01 2 11 31201 4-lC
F. No. U-1 1 01 2/1 31201 4-lCGorernment of lndia
Ministry of Rural DerelopmentDepartment of Rural De\elopment
(lC Section)
Krishi Bhawan, New Delhi
dated 20th May, 2016
To
The State Secretaries of Rural Dewlopm ent (ln charge)
S ubject: Training Programme on "Vegetables: From Seed to Table and Beyond" AVRDC- TheWorld Vegetable Centre, Bangkok, Thailand, September- November 2016
Sir,
lam directed to enclose a copyof MRDO'S letter no. Secretary General, MRDO Mde its letterno. CB/TRG/AVRDC|2016 dated 03rd lvlay,2016 on the subject mentioned above and to saythatthenom ination of willing and eligible candidate(s ) for the aforesaid training program m e duly com pletedin all respect and forwarded by the concerned authorities, may be sent to the lC Division in theprescribed proforma. Bio-data may also be furnished to undersigned and it may be emailto icsection.mord@gm ail.com as per closing dates gi\en below:
Programme Duration Closing date forNominations toreach MoRD
Closing date forNominations toreach AARDO
Module I
From Seed to Han/est 05 - 30 Sept. 2016 05 Ju ly 201 6 15 July 2016Module ll
From Han€st to Table 03 - 28 Oct. 2016 25 Ju ly 201 6 31 July 2016Module lll
Sustainable Derelopm ent 31 Oct. - 25 Nov2016
25 July 2016 3'1 July 2016
Encl: as above.
fa ithfu lly,
12
(Priya Rariian)Directorl(lC)
Te|.23382860
Copy to:
1. Director General, NIRD & PR, Rajendra Nagar, Hyderabad.2. Director of all SlRDs. (through E-mail).3. Principals of all ETCs- (through E-mail).4. Director (NlC): For uploading on the website of the Ministryand Diksha Portal.
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
APPLICATION FORM
International Vegetable Training Course
“Vegetables: From Seed to Table and Beyond”
AVRDC Research and Training Station
Kasetsart University, Kamphaengsaen Campus
Nakhon Pathom, Thailand
PERSONAL INFORMATION (Kindly print legibly. The information provided below must match those indicated in
your passport). Attach scanned copies of Pass Port.
(PARTICULARS MUST BE TYPED/PRINTED)
Given Name
Middle Name
Family Name
Nationality Date of Birth
(dd/mm/yyyy)
Place of Birth
Passport
Number
Date and Place of
Issue
Date of Expiry
Sex
Marital Status
Office Name
(Employer)
Office Address
Home Address
Tel (O): Fax (O): E-mail (O):
Tel (H): Fax (H): E-mail (H):
EDUCATIONAL BACKGROUND (last two institutions only)
Name of Institution/location Degree Years Attended
From To
Photograph
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
Have you attended previous AVRDC Training Courses? _____ YES ____ NO
If yes, please indicate the year: _______
EMPLOYMENT/EXPERIENCE
Present
job/position
Main
responsibilities
Previous job(s)/position Office, location
Years of Service
From To
ENGLISH PROFICIENCY:
Since the course language will be English, a certain level of English proficiency in written and oral form is required to
fully benefit from the course. Please tick your level of proficiency below:
Test of English as a Foreign Language (TOEFL): _____ score for paper based test; _____ score for a computer-
based; ____ score for internet-based test.
International English Language Testing Service (IELTS): _____ score
Completed university education where the subject English comprised the main component of the course of study.
Other proof of English proficiency, please specify:
FINANCIAL SUPPORT1
Personal
Donor funded
Sponsoring agency:
Contact person in
sponsoring agency:
Contact details:
(Phone/Fax/Email)
I am interested to join the training but do not have any financial means to participate.
1 Please note that AVRDC does not provide scholarships for the 33
rd IVTC.
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
Which module(s) would you like to attend for this training? Please tick.
Module I: “From Seed to Harvest”, 15 September to 10 October 2014
Module II: “From Harvest to Table”, 13 October to 7 November 2014
Module III: “Vegetables for Sustainable Development”, 10 November to 5 December 2014
Food restriction: I am strictly vegetarian I cannot eat beef I cannot eat pork
I cannot eat _______________________________________________________
CONTACT INFORMATION (Person to contact in case of emergency)
Name
Relation
Address
Contact details
(phone/fax/email)
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
YOUR MOTIVATION
Please state briefly the reason for applying to this training course, your main field of interest within the training course
and how you hope to benefit from the training course (no more than one page).
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
ASSURANCE OF POSITION STATEMENT
Place: _________________________
Date: _________________________
To:
AVRDC – The Word Vegetable Center
Regional Office East and Southeast Asia
P.O. Box 1010 (Kasetsart University)
Bangkok 10903, Thailand
This is to assure that ___________________________________ who currently holds the position of
(Name)
__________________________________________________________________________________
(Position)
at the _____________________________________________________________________________
(Organization)
in ___________________________________________ will be granted leave of absence and will be
(City/Country)
assigned to the position of
___________________________________________________________________________
(Position)
at the termination of the advanced training, should he/she be selected.
Name: ________________________________
Signature: ________________________________
Title of position:________________________________
Official address: ________________________________
________________________________
East and Southeast Asia P.O. Box 1010 (Kasetsart University) Bangkok 10903, Thailand Tel: +66-2-942-8686 Fax: +66-2-942-8688 Web: www.avrdc.org Email: [email protected]
________________________________