First Name :

Last Name :

Gender:
Male Female Transgender

Age Group (years):
up to 25 26-30 31-35 36-40 41-45 46-50 over 50

Teaching Experience (years):
0-5 6-10 11-15 16-20 21-25 Over 25

Area(s) of your work:
Primary School
Secondary School
Junior College (+2)
Senior College/ University
Teacher Education
Other

Other:

Highest qualification: ....selected your qualification.... Bachelors Masters MPhil PhD

Other:

Aided qualification :
None
BEd
MEd
CELTA
DELTA
PGCTE
PGDTE

Are you a member of any other English teachers’ association(s)?

If yes,the name of the Association(s):

Email:

Contact No:

WhatsApp No:

Address (Residence)

Address (Institution)

Select your state: ......Select your state...... Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttaranchal Uttar Pradesh West Bengal

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