JP Tarun Mitra Institute Workshop Form
Name of Institute
*
Institute Board
*
Select board
CBSE Board
ICSE Board
Odisha State Board
Other Board
Highest Degree offered by the Institute
*
Select degree
Upto 12th
Upto Graduation
Upto Post Graduation
More than Post graduation
Total Students in Class 11
Total Students in Class 12
Institute Address
*
City/Village
*
District
*
Pincode
*
State
*
Name of the Principal
*
Coordinator's Name
*
Coordinator's Email ID
*
Coordinator's Contact Number
*
Which dates will be suitable for the counduction of workshop
*
Which workshop(s) do you want to conduct?
*
Workshop on Deaddiction
Workshop on Menstrual Hygiene
Workshop on Stress and Anger Management
Workshop on Primary Medical Response
Workshop on Male Adolescence
Please select at least one workshop.
Which of the following amenities do you have?
*
Sound (speaker & mic)
Projector
Projector Screen
Computer/Laptop
None
Please select at least one amenity.
Remarks
Preview
Preview Details
Name of Institute:
Address of Institute:
Pincode:
City/Village:
District:
State:
Institute Board:
Highest Degree:
Total Students in Class 11:
Total Students in Class 12:
Name of the Principal:
Workshops:
Preferred Dates:
Coordinator's Name:
Coordinator's Email:
Coordinator's Contact:
Amenities:
Remarks:
Download Information Brochure 2025-26
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Please select at least one workshop.
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Please select at least one amenity.