PROFILING OF CANDIDATES

1a. Name of the Candidate: ............................................. ...................................................

FIRST NAME LAST NAME
Picture of the
1b. Gender (please tick): Male / Female 1c. Date of birth of the Candidate: ............................................. Candidate
DD/MM/YYYY
PHOTOGRAPH
1d: Highest Education Qualification (please tick one): Illiterate/5th Pass/8th Pass/10th Pass/ 12th Pass/Graduate/Post-Graduate
MALE MEMBER
1e: Reason for dis-continuing further education: ......................................................................... 1f: Since when: ...................
YYYY

Permanent Address (or Native Place), complete address specifying the village/city, District, State

2a. Address: ................................................... 2b. Village/City: ..................................... 2c. District: ................................ 2d. State: .............................................
INTRODUCTORY

Present Address (where residing now): complete address specifying the village/city, District, State

3a. Same as permanent Address: Yes No, If, No then provide the details 3b, 3c,3d, & 3e below:

3b. Address: ................................................... 3c. Village/City: ..................................... 3d. District: ............................... 3e. State: .............................................

4. Contact No (Mobile/landline with STD code): Mobile 0- .. Landline- ..

5a. Are you presently employed: Yes No If, Yes then provide the details 5b, 5c, & 5d below:

5b. Place of Job: 5c. Location of Job: 5d. Monthly Earning from the Job (Rs):

6a. Have you attended any training program before: Yes No If, Yes then provide the details 6b, 6c, & 6d below:

6b. Which type of Training: 6c. No. of days of training: 6d. Who provided the training:

7a. Why do you want to attend this training: .........................................

 8. Family Size (Total members): .. Adults (18 yr and above): . Children (17 yr and below):

Sr. Relationship Date of Birth Education Occupation Contact no

No Name of the person with the Gender
DOB Age Highest Primary
candidate (M/F)
dd/mm/ yyyy (yrs.) Qualification (See L3)
(See L1)
(See L2)
1. / /
2. / /
3. / /
4. / /
5. / /
FA M I L Y I N F O R MA T I O N

6. / /
7. / /
8. / /
9. / /
10. / /
11. / /
12. / /

L1: Relationship with Candidate: 1-Father 2-Mother 3-Brother 4-Sister 5-Spouse 6-Son 7-Daughter 8-Grandfather 9-Grandmother 10-Brother-in-law 11-Sister-in-law 12-Uncle
13-Aunt 14-Nephew 15-Niece 16-Father-in-law 17-Mother-in-law 18-Other

L2: Education Level: 1-Primary School 2-Middle School 3-Secondary School 4-Senior Secondary School 5-Graduation 6-Post Graduation 7-Doctorate 8-Diploma 9-Vocational
10-Aanganwadi 11-Age below three 12- Illiterate O-Other X-None

L3: Occupation: 1-Agriculture 2-Farm labour 3-Skilled labour 4-Non skilled labour 5-Govt. Servant 6-Private Job 7-Armed forces 8-Business 9-Teacher 10-Student 11-Household duties 12-Pensioner
13-Rentier 14-Beggar 15-Unemployed 16-Other

9. Average Family Monthly Income (Rs.):

10. Details of any Government Welfare Scheme the family is enrolled for: