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Aadhar No./ Registration No
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S.no
Frist Name
Last name
Date of birth
Gender
Application
Remarks
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General Information
First + Middle Name
Middle Name
Last Name
Gender
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Male
Female
Other
PwD (Differently abled)
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No
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Mobile No.
Alternate Contact No.
Email Id
Facebook Username
Marital Status
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Divorced
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Religion
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Hindu
Muslim
Sikh
Parsi
Buddhist
christian
Jain
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Minority
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Current Status
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Student
Working
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Yearly Income of The Candidate (in Rs.)
Category
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SC
ST
Others
Special Group
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Rehabilitated Bonded Labour
Victims of Trafficking
Manual Scavengers
Particular Vulnerable Trible Groups(PCTGs)
HIV Positive Persons
Date Of Birth
Age
Education Details
Educational Qualification
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10th
12th
Graduation
Post Graduation
Others
Below 8th
8th
University/ Board
Year of Passing
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Percentage / Grade
Technical Qualification
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ITI
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Other
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Previously Undergone Skill Training
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Please Specify Name of Program
Work Experience Details
Work Experience
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Please Specify Number of Years
Type of Work
Location of Work
Other Details
Aadhar No.
Enrollment No. (EID)
Job card / NREGA No.
RSBY Card No.
BPL Ration Card No.
Antyodaya Anna Yojana Ration Card No.
Chronic disease
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T.B
Epilepsy
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Other
If Other, Please Specify
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