Professional visit - Prayatna
Center for child development
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Professional visit

Application for Professional Visits and Observations

Full Name*
Date of Birth
Marital Status*
Do you have Children?*
Communication Address*
Mobile Number*
Alternate Mobile*
Email*
Native Place*
Course Completed
Higher Educational Qualification*
Name of College
University
Department of Internship
Reference Person Name
Contact Details
Purpose of Professional Visit
Time Duration
am to pm

Date of Joining
Photo (Only .png .jpg .jpeg files are allowed)

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Prayatna was started in the year 2012 with the aim of making a marked difference to handling children with disabilities.
Contact Info
  • 32 / 1393 A, Pipeline Road, Palarivattom P.O, Cochin – 682 025.
  • Tel: +91 484-2346322, Mob: +91 97463 03555
  • prayatnacdc@gmail.com, info@prayatna.net
  • Mon - Fri 08:30AM - 07:00PM
    Sat 09:00AM - 05:30PM, Sun Closed

© 2017 Prayatna - All Rights Reserved