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BASIC DETAILS
First Name
*
Father Name
*
Surname
*
Occupation
*
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Sub Caste
*
Select Option
અનુસુચિત જાતિ
અનુસુચિત જનજાતિ
બક્ષીપંચ
અન્ય
Gender
*
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Native Place
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Mobile Number
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E-mail
*
Marital status
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--Select Marital Status--
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Father Mobile Number
*
Father Occupation
*
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Date of Birth
*
Age
*
Blood Group
*
--Select blood group--
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Permanent Address
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State
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Taluka
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Pincode
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Is Correspondance Address same as Permanent Address
Correspondance Address
*
Correspondance State
*
Select State
Andaman Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra Nagar Haveli
Daman Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Correspondance City (District)
*
Correspondance Taluka
*
Correspondance Pincode
*
Is Physically Challenged
*
NO
YES
Passport Sized Photo (max: 800kb)
*
Signature (max: 800kb)
*
Leaving Certificate (max: 800kb)
*
ID Proof(બંને બાજુ)(max: 2mb)
*
Caste Certificate(max: 800kb)
*
CARRIER PROGRESS
SSC (max: 2mb)
Year
- YEAR -
2026
2025
2024
2023
2022
2021
2020
2019
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1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
SSC / Board
SSC percentage
HSC /Diploma (max: 2mb)
Year
- YEAR -
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
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2010
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1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
HSC / Diploma
HSC / Diploma percentage
Graduation (max: 2mb)
Graduation Name
Year
- YEAR -
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
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2012
2011
2010
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1993
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1991
1990
1989
1988
1987
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1985
1984
1983
1982
1981
1980
1979
1978
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1972
1971
1970
1969
1968
1967
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1961
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1951
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1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Board / University / Institute
Graduation percentage
Other (max: 2mb)
Other Name
Year
- YEAR -
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
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1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Board / University / Institute
Other percentage
Other Details
Does anyone in your family run a business?
--Select--
Yes
No
You get leverage to grow your business faster ?
--Select--
Yes
No
What do you want to do?
Have you founded this industry?
--Select--
Yes
No
How much can you invest?
Family income(Annual)
Have you taken out a loan?
--Select--
Yes
No
Will you be able to bring the required collateral?
--Select--
Yes
No
Have you taken CED training before?
--Select--
Yes
No
*
I hereby declare that the details furnished above are true and correct to the best of my knowledge. I shall abide by the rules and regulations of the institute. The institute can use my candidature to recognize the performance of the institute. (હું જાહેર કરું છું કે ઉપર આપેલી તમામ વિગતો મારી જાણકારી મુજબ સાચી અને યોગ્ય છે. હું સંસ્થાના નિયમોનું પાલન કરીશ તેમજ સંસ્થા મારી કામગીરીનો ઉપયોગ સંસ્થાના પ્રભાવને ઓળખવા માટે કરી શકે છે.)
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