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New DTP OPERATOR Application

Name :
Job Category :
Organisation Name :
Designation :
Exp. in Years :
Date of Birth :
Trade Specialisation :
NIMI Trained :
Yes No
Capable to handle:
Media Development Translation
Question Bank Vetting
Aadhar No.
Associated with NIMI (in yrs.)
Languages Known :
Specific previous work done at NIMI :

Contact Details :
Resi. Address :
Town/City/District :
State :
PIN Code :
Mobile/Phone No :
Email ID :
Off. Address :
Town/City/District :
State :
PIN Code :
Mobile/Phone No :
Email ID :
Bank Details :
Account Number :
Name of Account :
Bank Name :
Branch :
IFSC Code :
PAN No. :
I agree with the terms and conditions of NIMI