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Name
Mobile No.
Registration No.
Basic Information
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Middle Name
Last Name
Father's First Name
*
Middle Name
Last Name
Mother's First Name
*
Middle Name
Last Name
DOB
*
Category
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General
SC
ST
OBC
Minority
Yes
No
Religion
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BUDDHISM
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OTHERS
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Gender
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Male
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Marital Status
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Single
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Mobile No.
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Disability
Yes
NO
Disability Type
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Acid Attack victim
Autism Spectrum Disorder
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Leprosy Cured
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Low-vision
Dwarfism
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Muscular Dystrophy
Chronic Neurological conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and Language disability
Thalassemia
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Multiple Disabilities including deaf blindness
Parkinson's disease
Visually Impaired
Alternate Mobile No.
Special group
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NO
Special group Type
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Particularly Vulnerable Tribal Groups
Victims of trafficking
Manual scavengers
Transgender
Rehabilitated bonded labour
Others
Email Id
Is SHG Member
Yes
NO
SHG Member No.
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SECC No.
BPL No.
PIP No.
MNREGA No.
UID No.
EID No.
Permanent Domicile
State
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ANDAMAN AND NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CENTRAL AGENCY
CHANDIGARH
CHHATTISGARH
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DELHI
GOA
GUJARAT
HARYANA
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JHARKHAND
KARNATAKA
KERALA
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MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
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PUNJAB
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ANDAMAN AND NICOBAR
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ASSAM
BIHAR
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CHANDIGARH
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DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
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LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
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TRIPURA
UTTAR PRADESH
UTTARAKHAND
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Training Location Preference
Within Domicile District
Within Domicile State
Anywhere
TRAINING PREFERENCE (MAX 3 PREFERENCES)
Sector
Trade
Primary Training Centre Type
Nature of Training
State/UT
District
--Select--
Aerospace & Aviation
Agriculture
Apparel
Apparel, Made-Ups & Home Furnishing
Automotive
Banking, Financial Services and Insurance
Banking, Financial services and Insurance (BFSI)
Beauty & Wellness
Business & Commerce
Capital Goods
CAPITAL GOODS & MANUFACTURING
Chemical
Construction
Counselling Skill
Cruise Tourism
Domestic Worker
Electrical
Electronics
Electronics & Hardware
Fire And Safety Engineering
Fishing- Equipment & Operations
Fishing Techniques and Processing
Food Processing
Food Processing & Preservation
Fragrance, Flavour & Perfume
Furniture & Fittings
Furniture & Furnishings
Gems & Jewellery
Glassware
Green Jobs
Green Skills
Handicrafts & Carpets
Handloom & Handicrafts
Healthcare
Hydrocarbons
Indian Sweets, Snacks And Food
Infrastructure
Infrastructure Equipment
Instrumentation
Instrumentation, Automation, Surveillance and Communication
Iron & Steel
IT-ITES
Jute Sector
Leather
Life Science
Life Sciences
Logistics
Logistics & Supply Change Management
Management - Security
Management and Entrepreneurship & Professional
Marine Engineering
Maritime Logisitics
Media & Entertainment
Mining
Paint
Paints & Coatings
People with Disability
Plastic Processing
Plumbing
Port Operations
Port Utilities
Power
Power & Energy
Printing
Production And Manufacturing
Renewable Energy
Retail
Rubber
Security
Sericulture
Ship Breaking
Ship Building and Repair
Ship Construction
Soft Skills
Sports
Strategic Manufacturing
Telecom
Textiles
Textiles & Handlooms
Tourism & Hospitality
Toy Making
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Residential
Non-Residential
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Full time
Part time
Week ends time
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ANDAMAN AND NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CENTRAL AGENCY
CHANDIGARH
CHHATTISGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
Ladakh
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
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