THE GENERATION AWAKENS

A rural development initiative

H.O. : H/No. 8, Opp. N.E.TV, A.K. Azad Road, Rehabari, Guwahati- 8
Regd. No. RS/MRG/245/C/85 of ⅩⅩⅠAct, 1860 of Society Reg. Act
SKILL DEVELOPMENT INITIATIVE SCHEME (SDIS)
MODULAR EMPLOYMENT SKILLS (MES)

APPLICATION FOR : Candidate Registration for Training / Testing Date : …………………….

Reg. No. ……………………………. For official use only

I. PERSONAL DETAILS

Candidate’s Name

Father’s Name

Mother’s Name

Religion Hindu Sikh Muslim Christian Others Sex Male F Female

Date of Birth

Category General Sc St OBC Personal with disability Yes No

Language Known …………………………………………………..………….………… Monthly Income (In Rupees) …………………………………….........

II. EDUCATIONAL DETAILS

General Qualification 5th 8th 10th 12th …………………………………………………………………….

Professional Qualification NTC NAC Diploma Degree Post Graduation Non Professional

III. CONTACT DETAILS

Telephone/Mobile
E-mail (optional)
Present Address Permanent Address

Vill :

P.O. :
City : City:
District : District:

Postal Code: Postal Code:

State : State:
Country : Country:

IV. MES COURSE WHICH ADMISSION IS SOUGHT

Sector
Course/ Module