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Block-Level Camp for Security Amount failed KYP Learners.

Date- District- DSM Name- DEO/Representative Name-


Sl Learner Name. Learner Code Learner Learne SDC Name District Block Is Aadhar If Not Signature of
No Email ID Mobile and code. Number Linked, candidate
Number Linked with Process
Bank Conveyed
Account? for
(YES/NO) Linking.?
(YES/NO)
1

DSM Signature- District employment Officer/Representative Signature

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