Trainee Registration Form
Basic Details :‐
Mr /Mrs /Ms First name Middle name 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: M/F Date of Birth
Caste: General / SC / ST/ OBC Religion Marital Status: Single / Married / Divorced
Bank Details :‐
Bank Name Branch Name Account Number
IFS Code Account Holder's Full Name (As per PassBook)
Economical Status Residential Status
APL BPL Residential Non‐Residential
Contact Details :‐
House No Road/Street Village/Town
State District Block/Municipality
G. Panchayet Post Office Police Station
PIN Code Email ID Mobile Number
Educational & Professional Qualification :‐
Educational Qualification Qualification Status Employment Status
Course & Training Details:‐
Training Type Sector Course
Documents Required:‐ *Karmadisha Id:
1)Aadhaar Card
2)Bank Passbook Front Page
3)Trainee Photograph (1 Copy)
4)Residential Proof (Aadhaar Card/Voter Card/Ration Card)
5)Highest Qualification Proof
6)Age Proof
(SIGNATURE)