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Self Employment Registration Form
District Bureau of Employment and Enterprises, Ludhiana (Govt. of Punjab)
* Indicates required question
Name
*
Your answer
Father's Name
*
Your answer
Email Id
Your answer
Address
*
Your answer
Mobile No.
*
Your answer
Gender
*
Male
Female
Category
*
Choose
General
OBC
SC
ST
Others
Divyang ?
Yes
No
Clear selection
Objective for Taking Loan
*
Your answer
Occupation for which Loan is Required
*
Your answer
Amount of Loan Required
Your answer
Annual Income of Family
*
0 - 2.5 Lakhs
2.5 - 5 Lakhs
5 - 10 Lakhs
10 Lakhs & Above
Other:
Required
Tick Against Document You have
*
Aadhar card
PAN Card
BPL Card
Agricultural Land Docs
Own Plot/House Docs
Blue Card
Other:
Required
Submit
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