Registration form

Workshop on “Mental Health Awareness: Together we can make a change”

1. Name: ____________________________________________________________

2. Designation: ____________________________________________________________

3. Qualification: _____________________________________________________________

4. Name of Institution: __________________________________________________________

5. Whether attended any Workshop related Mental Health: Yes / No

Signature of Participant Signature of Program Coordinator/

Co- Coordinator

N.B

1. Participants are requested to submit this registration form 9:30 am

2. No T.A will be given to the participants