Covid 19 Related Healthcare Training Registration Form under PMKVY 3.0
District Skill Devlopment , Employment & Entrepreneurship Guidance Center, Chandrapur

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NOTE :- ALREADY COURSE DONE FROM SKILL DEVLOPEMENT DEPARTMENT THOSE CANDIDAT NOT NEED TO APPLY FOR THIS COURCE
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Full Name  *
ADDRESS *
TALUKA *
DISTRICT *
PINCODE *
Mobile Number *
Ulternate Mobile Number *
Email ID *
Gender  *
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AADHAR NO  
Age ( As on 31/05/2021 ) *
DATE OF BIRTH
MM
/
DD
/
YYYY
SOCIAL CATEGORY
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Marital Status *
Highest Qualification*
Status of  Qualification*
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Employment  Status *
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Select Training Type *
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Please select course under PMKVY 3.0 Please check Entry Level Qualification of each course ( mentioned in front of course name ) before selection  *
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