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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 *
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ADDRESS *
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TALUKA *
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DISTRICT *
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PINCODE *
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Mobile Number *
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Ulternate Mobile Number *
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Email ID *
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Gender *
Male
Female
Transgender
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AADHAR NO
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Age ( As on 31/05/2021 ) *
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DATE OF BIRTH
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DD
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YYYY
SOCIAL CATEGORY
SC
ST
OBC
NT
OPEN
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Marital Status *
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Highest Qualification*
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Status of Qualification*
Completed
Pursuing
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Employment Status *
Student
Employed
Unemployed
Housewife
Other
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Select Training Type *
RPL
Special Project / Fresh Training
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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 *
Phlebotomist - Class XII with science
Emergency Medical Technician - Basic XII with science
General Duty Assistant - 10 th
Home Health Aide - 10 th
Medical Equipment Technology Assistant -SSC +ITI Diploma with 3 year of experience post ITI or Diploma ( electronic /mechanical/electrical/Computers / any other related field
Genral Duty Assistant Advanced - Critical Care - Class X
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