Environmental Information Systems [ENVIS] Centre on Eastern Ghats
Environment Protection Training and Research Institute [EPTRI], Hyderabad

EXPERT DATABASE FORM
1.        Name:
2.        Designation:
3.        Department:
4.        Institution / organization:
5.        Address:
a) Organisation  Address                                
D. No:________________________
Street:________________________
City:__________________________
State:_________________________
Country:_______________________        
Pin:
Phone :
Fax:
Mobile:

b) Residential Address
D. No:________________________
Street:________________________
City:_________________________
State:_________________________
Country:_______________________
Pin:        
Phone :
Fax:
Mobile:        

e-mail:        
                               

6.        Field of specialization:
7.        Current research area:
8.        Collaborative institutes/ Scientists:
9.        Publications relating to Eastern Ghats:
a. Articles:
b. Reports:
c. Books:
10.         Any other relevant information:

I here with submit the above details for inclusion of my name in your Expert Database. I am also sending a copy of my biodata for records.
                               


Signature

Please send your queries to email eptri@envis.nic.in or ap@envis.nic.in
Ph:  040-2300 1903.