Training Programme on Understanding and Resolving Water

Conflicts
18-22 July 2011, Satapada,Odisha

APPLICATION FORM
Full Name:

First Name Middle Name Last name/Surname

Address:

Phone & Fax:

E-mail:

Organization:

Designation:

Educational
Background
(Bachelors
onwards):

Please describe how your current work is related to water issues? (up
to 200 words)

How do you expect that your work will benefit from this course? (up
to 200 words)

(Signature of the candidate)

Date:
Place:
Please send the complete application via e-mail (as a .doc file) to
waterconflictforum@gmail.com or post to:

Forum for Policy Dialogue on Water Conflicts in India

1
Society for Promoting Participative Ecosystem Management
(SOPPECOM)
16, Kale Park, Someshwarwadi Road,
Pashan, Pune 411 008
Maharashtra, INDIA
Tel: +91-20-2588 0786/ 2588 6542
Fax: +91-020-2588 6542
Email: waterconflictforum@gmail.com