TRAINEE NAME *
FATHER NAME *
MOTHER NAME *
GURDIAN NAME *
RELATIONSHIP WITH GURDIAN * (Please Mark Tick)	C/O S/O D/O W/O
DATE OF BIRTH *
RELIGION *
AADHAAR NO *
GENDER *
MARITAL STATUS *
VOTER CARD ID NO
CASTE *	GENERAL OBC SC ST
PAN NO
RATION CARD NO

House No *
Road/Street No *
Village/Town *
Post Office *
Gram Panchayat
Block/Municipality *
Police Station *
District *
Pin Code *
E-mail Id
Primary Mobile Number *
2nd Mobile Number
Economic Status * (Please mark Tick)	APL BPL
Residential Status * (Please Mark Tick)	Non-Residential Residential

Educational Qualification *
Educational Qualification Status * (Please Mark Tick)	Completed Pursuing
Employment Status * (Please mark Tick)	Employed Unemployed Retired

Course Name *

Bank Name *
Branch Name *
IFS Code *
Account Number *
Name *

Trainee Photograph *
Highest Qualification Proof *
Age Proof *
Signature *
Bank Passbook *
Residential Proof *
ID Proof Any one or Two * (Please mark Tick)	Driving License Passport Ration Card Aadhar Card Epic/Voter Id
ID Proof one *
ID Proof two *
Signature of Gurdian *
Signature of Trainee *

SPONSORED NAME *	Yes No
IF Yes, GIVE THE SPONSORED USERNAME