31th NATIONAL CHILDREN’S SCIENCE CONGRESS, 2023
REGISTRATION FORM – A
Application No
TNSF247245
Step 1
PROJECT DETAILS
Step 2
DETAILS OF SCHOOL / INSTITUTION / ORGANISATION
Step 3
DETAILS OF THE GROUP LEADER
Step 4
DETAILS OF CO-WORKER
Step 5
DETAILS OF GUIDE TEACHER
Step 6
CHECK AND CONFIRM
PROJECT DETAILS
State
*
Tamilnadu
District
-Select-
Ariyalur
Chennai
Coimbatore
Cuddalore
Dharmapuri
Dindigul
Erode
Kanchipuram
Kanyakumari
Karur
Krishnagiri
Madurai
Nagapattinam
Namakkal
Nilgiris
Perambalur
Pudukkottai
Ramanathapuram
Salem
Sivaganga
Thanjavur
Theni
Thoothukudi (Tuticorin)
Tiruchirappalli
Tirunelveli
Tiruppur
Tiruvallur
Tiruvannamalai
Tiruvarur
Vellore
Viluppuram
Virudhunagar
Chengalpattu
Kallakurichi
Kanchipuram
Ranipet
Tenkasi
Tirupathur
Mayiladuthurai
Category
Senior (Children born between 01.01.2006 to 31.12.2009)
Junior (Children born between 01.01.2010 to 31.12.2013)
Block / Thasil
*
Area
Rural
Urban
Language Used
Tamil
English
Project Title
*
Sub Theme
Know your ecosystem
Fostering health, nutrition and well-being
Social and cultural practices for ecosystem and health
Ecosystem based approach (EBA) for self-reliance
Technological innovation for ecosystem and health
DETAILS OF SCHOOL / INSTITUTION / ORGANISATION
Type of School
*
-Select-
Govt/Aided
Private
Special
Out of School
Name of the Institution
*
email of (School/Institution Head)
*
Name of the Head of School / Institution / Organisation
*
OFFICE ADDRESS
No.
*
Street/Road/Lane
*
Area/Locality/Sector
*
Village/Town/City
*
Pin Code
*
Post Office
*
Phone No
*
DETAILS OF THE GROUP LEADER
Name of the Group Leader
*
Gender
*
Male
Female
Whether Child with Disability (CWD)
*
No
Yes
Date of Birth
*
Age
*
Mobile No.
*
type of Disability Code
*
Select
VI - Visual Impairment
LV - Low Vision
TB - Totally Blind
MR - Mental Retardation
HI - Hearing Impairment
SI - Speech Impairment
MI - Multiple Disability
LD - Learning Disability
AUT - Autism
OI - Orthopedically Impaired
CP - Cerebral Palsy
E mail id
*
DETAILS OF CO-WORKER
Name of the Co-Worker
Gender
-Select-
Male
Female
Whether Child with Disability (CWD)
-Select-
No
Yes
Date of Birth
Age
Mobile No.
type of Disability Code
-Select-
VI - Visual Impairment
LV - Low Vision
TB - Totally Blind
MR - Mental Retardation
HI - Hearing Impairment
SI - Speech Impairment
MI - Multiple Disability
LD - Learning Disability
AUT - Autism
OI - Orthopedically Impaired
CP - Cerebral Palsy
E mail id
DETAILS OF GUIDE TEACHER
Name of the Guide Teacher
*
Designation
*
Name of the Institute
*
Address of Guide Teacher
House No.
*
Street/Road/Lane
*
Area/Locality/Sector
*
Village/Town/City
*
Pin Code
*
Post Office
*
Phone No
*
E mail id
*
PROJECT DETAILS
Category: STATE
District
Language Used
Area
Category
Block / Thasil
Project Title
Sub Theme
DETAILS OF SCHOOL / INSTITUTION / ORGANISATION
Type of School
Name of the Institution
email of (School/Institution Head)
No/Street/Road/Lane
Area/Locality/Sector
Village/Town/City
Pin Code
Post Office
DETAILS OF THE GROUP LEADER
Name of the Group Leader
Whether Child with Disability (CWD)
Gender
Date of Birth
Age
Mobile No
E mail id
DETAILS OF CO-WORKER
Name of the Co-Worker
Whether Child with Disability (CWD)
Gender
Date of Birth
Age
Mobile No
E mail id
NAME AND ADDRESS OF GUIDE TEACHER
Name of the Guide Teacher
Designation
Name of the Institute
House No
Street/Road/Lane
Area/Locality/Sector
Village/Town/City
Pin Code
Post Office
Phone No
E mail id
