CERC

Public Hearing Registration Form
Public hearing Date
Public Hearing Date*		Hearing Timing*:
Personal Details
First Name*:			Middle Name:
Last Name*:
Organisation Details
User Type*:
Representing Organization:	Organization* :
(If Organization is not in the list please tick and specify)
Organization Name :
Designation* :
Communication Details
Mobile*:
EMail Address*:
Whether you/your Organization propose to make a presentation during the public Hearing (if Yes Please tick): Yes
Whether you/your Organization propose to give a Oral Submission during the public Hearing (if Yes Please tick): Yes