Open Candidate Registration Form

Registration No *
Registration Details
Name
Mobile No.
Registration No.

Basic Information

First Name *
Middle Name
Last Name
Father's First Name *
Middle Name
Last Name
Mother's First Name *
Middle Name
Last Name
DOB *
Category *
Minority
Religion *
Gender *
Marital Status *
Mobile No. *
Disability
Disability Type*
Alternate Mobile No.
Special group
Special group Type*
Email Id
Is SHG Member
SHG Member No.*
SECC No.
BPL No.
PIP No.
MNREGA No.
UID No.
EID No.

Permanent Domicile

State *
District *
Registration Details
Name
Mobile No.
Registration No.

Permanent Address

Address Type
House no./ Bld. No./ Apt. No. *
Street/ Road/ Lane *
Area/locality/sector *
Landmark
State/UT *
District *
Tehsil
Town
Ward
Block
Gram Panchayat
Village
Police Station
Pin Code *
Post Office *

Current Address

Same as Above
Address Type
House no./ Bld. No./ Apt. No. *
Street/ Road/ Lane *
Area/locality/sector *
Landmark
State/UT *
District *
Tehsil
Town
Ward
Block
Gram Panchayat
Village
Police Station
Pin Code *
Post Office *
Registration Details
Name
Mobile No.
Registration No.
Training Location Preference

TRAINING PREFERENCE (MAX 3 PREFERENCES)

Sector
Trade
Primary Training Centre Type
Nature of Training
State/UT
District
Add