Application for Approval of Technologist/Veterinarian
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 Name*  
 Address*  
 Contact Number*  
Educational /Professional qualifications indicating main subject of study(Only degree level & postgraduate qualifications need be shown). Attach attested copies of the certificates)*  
 Date Of Birth*  
Present place of posting with approval No of the processing establishment where presently posted designation*  
Particulars of training undergone in the field of Fish/Milk processing and /or quality control.*  
Experience(in number of years) in the field of Fish/Milk processing/quality control (attach experience certificate)*  
  (a)Whether previously approved by EIA
       Previously  Technologist No.
Expand/Collapse  Attachment
  (b)If yes,reference number and date of approval letter(Attach a copy of approval letter)
Attachment Received
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  Name*  
  Designation*  
  Place*  
  Date*  
 EIA - Location*