APPLICATION & REGISTRATION FORM

EDP - Registration

REGISTRATION FORM
Entrepreneurship Development Programme (EDP)
 
1. NAME : *
2. FATHER'S NAME :
3. PERMANENT RESIDENTIAL ADDRESS WITH PINCODE: *
4. CONTACT DETAILS:
Landline No.
Mobile No. *
Email ID *
5. AADHAAR NO. *
6. ACADEMIC QUALIFICATION *
7. DATE OF BIRTH *
8. AGE *
9. GENDER * Male Female
10. WHETHER PHYSICALLY CHALLENGED Yes No
11. COMMUNITY CATEGORY * General OBC SC ST
12. RELIGION CATEGORY * Hindu Muslim Christian Others
13. WORK EXPERIENCE, IF ANY
14. LINE OF ACTIVITY PROPOSED
15. UPLOAD YOUR PHOTO *
16. ADDRESS PROOF *
 

 

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