e-LMS | Institute of Secretariat Training & Management

Online Nomination Form

Select Course *

CSL Number

Note:- CSL No. is only applicable for CSS/CSSS

Have you previously attended any course at ISTM? *

Yes

Mobile No. *

First Name *

Middle Name

Last Name *

Name in Hindi *

Father's / Spouse's / Mother's / Guardian's name *

Gender *

Category *

Differently Abled *

Yes

Date of Birth *

Educational Qualification *

Service *

Designation / Rank *

Level of Pay Matrix *

Brief Service Particulars *

Date of Joining Service *

Date of Joining Current Post *

ORGANISATION DETAILS

Organisation Name *

Organisation Type *

Organisation Email *

Organisation Phone *

Organisation Street Address *

Organisation City *

Organisation Pincode *

Organisation State *

PERSONAL / RESIDENCE DETAILS

Email *

Street Address *

City *

Pincode *

State *

OTHER DETAILS

Emergency Contact Details *

How the training is likely to benefit the nominee as well as the organisation (in 2 lines). *

I certify that the above information is correct *

( Checked = Yes; Unchecked = No; )