APPLICATION FORM FOR TRAINING UNDER (IRP) INCOME RESTORATION PROGRAM
1. General 1.1 Village/City/Town 1.2 Taluka/Tehsil 1.3 District 1.4 Survey Number of Affected Land
2. Property/asset (Land, structure, others) affected –multiple choice possible (tick
the appropriate option) 2.1 Land 2.3 Structure (Shop) 2.2 Structure 2.4 Others (House)
3. Information on Prospective Trainee of PAH (Project Affected Household)
3.1 Name of Perspective Trainee in the Household for training (one per family) 3.2 Name of Owner/Head of Household of property affected 3.3 Age of Prospective Trainee 3.4 Education of Prospective Trainee 3.5 Mob. No. and E-mail ID of Prospective Trainee 3.6 Willingness for Training Assistance Yes No If yes, provide details in S.N.3.7
3.7 Willingness for Residential Training Yes No If yes, provide details