NSRICM - Netaji Subhas Regional Institute of Cooperative Management

Name of the Candidate *

Name of Father / Spouse

Date of Birth

Sex

Male Female

Permanent Address *

Village and Panchayat

Block and/or Tehsil

District

State

PIN code

Address for Correspondence

Telephone/Mobile

E-mail

Highest Educational Qualification *

Name of Degree/Diploma/Course

Board/Institute/University

Affiliated University

Marks / Grade Obtained

Year of Passing

Professional Experience

Family Background in Agriculture

Other than Agriculture

Agri-Business Interest

Nature of Enterprise planned to setup

Experience in planned enterprise

Likely place of establishment

Aptitude for extension & serving farmers

NETAJI SUBHAS REGIONAL INSTITUTE OF COOPERATIVE MANAGEMENT