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DDU-GKY: COURSE REGISTRATION FORM
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* Indicates required question
Name of the Candidate
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Your answer
Name of the Course
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Genetic Counselor (Pradhan Mantri Arogya Mitra)
Credit Processing Officer (CPO)
Genetic Counselor / Credit Processing Officer (CPO)
Gender
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Male
Female
Transgender
Age
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Your answer
Date of Birth (DD/MM/YY)
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Marital Status
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Married
Unmarried
Other
Name of the Panchayat
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District
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KANNUR
PALAKKADU
IDUKKI
KOTTAYAM
WAYANADU
MALAPPURAM
KOLLAM
PATHANAMTITTA
KOZHIKKODU
ERNAKULAM
THIRUVANANTHAPURAM
KASARGODU
THRISSUR
ALAPPUZHA
Candidate's Contact Number
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Candidate's Whatsapp Number
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E-mail ID
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Category
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SC
ST
Hindu (General / OBC)
Minority (Christian / Muslim)
Criteria
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MGNREGA
Kudumbashree / Self Help Group
BPL
APL
Asraya / Life
Required
Highest Educational Qualification
*
Post Graduated
Graduated (Regular Course)
Graduated (Distance Degree)
Technical Graduated (B. Tech.)
Diploma
+2/Higher Secondary/VHSE
Specify the Qualification (M.Sc. Zoology, B.Sc. Nursing, B.Com. Co-operation, etc.)
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Additional Qualification if any
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Work Experience if any
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Physically Handicapped
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Yes
No
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