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Basic Details
Select State:
Select State
West Bengal
Select District:
Select District
Select Area:
Select Area
Select Block/Municipality:
Select Block/Municipality
Select School:
Select School
Applicant's First Name:
Applicant's Middle Name:
Applicant's Last Name:
Father's First Name:
Father's Middle Name:
Father's Last Name:
Mother's First Name:
Mother's Middle Name:
Mother's Last Name:
Guardian's First Name:
Guardian's Middle Name:
Guardian's Last Name:
Relationship with Guardian:
Gender:
Select Gender
Male
Female
Date of Birth:
Caste:
Select Caste
General
SC
ST
OBC
Religion:
Select Religion
Hinduism
Islam
Christianity
Buddhism
Sikhism
Judaism
Jainism
Marital Status:
Select Marital Status
Single
Married
Divorced
Economical Status:
Select Economical Status
APL
BPL
Residential Status:
Select Residential Status
Residential
Non-Residential
Educational Qualification:
Select Educational Qualification
Illiterate
Literate
Class 4 Pass
Class 8 Pass
Matric Pass
HS/10+2 Pass
Graduation Pass
Post-Graduation Pass
Qualification Status:
EPIC Number:
UID Number:
Ration Card Number:
Bank Account Details
Account Number:
Account Holder's Full Name (As per PassBook):
IFSC Code:
Bank Name:
Branch Name:
Branch Address:
Contact Details
House No:
Road/Street/Para:
Village/Town:
State:
Select State
West Bengal
Select District:
Select District
Select Area:
Select Area
Select Block/Municipality:
Select Block/Municipality
Gram Panchayet:
Post Office:
Police Station:
Pin Code:
Email ID:
Mobile Number:
Alternate Mobile Number:
Employment & Course Training Details
Employment Status:
Select Employment Status
Mid-Day Meal Worker
Training Type:
Select Training Type
Household Multipurpose Executive
Sector:
Select Sector
Domestic Worker
Course:
Select Course
Hygiene Maintenance and Fire Safety
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