Registration Form
Basic Details
Salutation
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Mr
Ms
Full name
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Guardian's name
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Gender
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Male
Female
Transgender
Email Address
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Mobile Number
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Whatsapp Number
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Education
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5th Class
8th Class
10th Class
12th Class
ITI
Graduate
None of the above
Date of Birth
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Location
State
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District
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Village
Pin code
Sectoral Preference
Preference 1
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Agriculture
Handicraft
Construction
BFSI
IT-ITES
Healthcare
Furniture
Electronics
Gems and Jewelry
Tourism
Automotive
Preference 2
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Agriculture
Handicraft
Construction
BFSI
IT-ITES
Healthcare
Furniture
Electronics
Gems and Jewelry
Tourism
Automotive
Quick Aspiration Survey
Are you 18 years of age?
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Yes
No
Are you aware this is a residential training program?
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Yes
No
Are you already employed?
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Yes
No
If yes, what is your current earning per month?
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Do you wish to seek wage employment?
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Yes
No
Do you wish to be an entrepreneur?
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Yes
No
Are you accessing any of the following government
schemes/grants/loans?
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National Honey Beekeeping Mission
National Bamboo Mission
Pradhan Mantri Matsya Sampada Yojana
PM Employment Generation Program
PM Formalization of Micro Food Enterprises
Venture Capital Fund for ST
Scheme for Fund for Regeneration of Traditional Industries etc.
Doubling the Farmers' Income
Any Other Scheme
If, Any other Scheme
Please mention it:
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