JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
DIIT ADVANCEMENT OF LEARNING
COVID-19 Awareness Appreciation Certificate Program-Free Certification | Conduct By DIITAL EDUCATION LLP
Please Submit With Unique Email id, Contact & Name
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Candidate Name
*
0 points
Your answer
Date of Birth
*
MM-DD-YYYY format only
1 point
MM
/
DD
/
YYYY
State
*
1 point
Your answer
District Name
*
1 point
Your answer
Are you taking precautions for COVID-19?
*
1 point
YES
Other:
Contact Number
*
1 point
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms