सीखो और कमाओ, Ministry of Minority Affairs

Name of Trainee

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Son/daughter/wife Of

Gender

Ex:- Male Female

Name of Community

Muslims Christians Sikhs Buddhist Parsis Jains Non-minority Others

Date of Birth

DD / MM / YYYY

Marital Status

Single married Widow

Contact No/Mobile

Annual Family Income (in Rs)

PAN No

Passport No if Available

Aadhaar No

Universal Account Number if available

Identity Proof Name

Voter ID Ration Card BPL Card Driving License

Select Identity Proof No

Pre Trainee Status

Skilled Semi-Skilled Un-Skilled

Employment Status

Employed Unemployed

Area of Interest

Cooking Cricket

Any Family Business

Status of Trainee

Residential Non-Residential

Address

State

Your State

Block

District

Your District

Town/Village

Pin Code

Address

State

Your State

Block

District

Your District

Town/Village

Pin Code

SNo	Name of Family Member	Relation	Occupation	Mobile No
1
2
3
4
5

SNo	Basic Education	Stream/Specialization	School/University	Year of Passing
1	5th 8th 10th 12th Graduate Post Graduate
2	5th 8th 10th 12th Graduate Post Graduate
3	5th 8th 10th 12th Graduate Post Graduate
4	5th 8th 10th 12th Graduate Post Graduate
5	5th 8th 10th 12th Graduate Post Graduate

SNo	Enter the Certificate Course Name	Institution Name	Year
1
2
3
4
5

Account No.

Bank Name

IFSC Code

Bank Address

Add Trainee Details

Present Address

Permanent Address ( Same as Present Address )

Family Background (For multiple entries click + )

Education Details of Trainee (For multiple entries click + )

Any Certificate Course Done by Trainee (For multiple entries click + )

Bank Details of Trainee