Loading, please wait...
"Candidate Registration Form: Empowering Rural Youth through Skill India"
Candidate Registration
Name of the Person Filling the Form
(Required*)
Candidate Name
(Required*)
Education:
Select Education Level
9th
10th
12th
Graduation
Post Graduate
Email
(Required*)
Phone
(Required*)
Alternate Phone:
Interested for Course
(Required*)
Select an option
Yes
No
Father's Name
(Required*)
Mother's Name
(Required*)
Date of Birth
(Required*)
Caste:
Select your caste
SC
ST
OBC
GEN
Other
Marital Status
(Required*)
Select your marital_status
Married
Unmarried
Gender
(Required*)
Select your gender
Male
Female
Religion:
Select your religion
Hindu
Muslim
Sikh
Jain
Christian
Other
Aadhaar Number
(Required*)
Choose Your State
(Required*)
Select State
Haryana
Jammu and Kashmir
Rajasthan
Uttarakhand
Select the District Where You Wish to Receive Training
(Required*)
Select Center
Select Course
(Required*)
Select Course
District Name
(Required*)
Select District
Almora
Bageshwar
Chamoli
Champawat
Dehradun
Haridwar
Nainital
Pauri Garhwal
Pithoragarh
Rudraprayag
Tehri Garhwal
Udham Singh Nagar
Uttarkashi
Sirsa
Hisar
Fatehabad
Anantnag
Badgam
Bandipora
Baramula
Doda
Ganderbal
Kargil
Kathua
Kishtwar
Kulgam
Kupwara
Leh (Ladakh)
Pulwama
Punch
Shupiyan
Srinagar
Ajmer
Alwar
Banswara
Baran
Barmer
Bharatpur
Bhilwara
Bikaner
Bundi
Chittaurgarh
churu
Dausa
Dhaulpur
Dungerpur
Hanumaangarh
Jaipur
Jaisalmer
Jalor
Jhalawar
Jhunjhunun
Jodhpur
Karauli
Kota
Nagaur
Pali
Pratapgarh
Rajsamand
Sawai Madhopur
Sikar
Sirohi
Sri Ganganagar
Tonk
Udaipur
Village Name
(Required*)
Complete Address:
How Did You Come To Know About This Training?
Select Source
Select Source
seminar
The Sadaknama
E-Samachar
Pressvarta Khabar Focus
Aman News
Banner Pamplets
Audio van
LED Van
CPIT Social Media
E rikshaw
Youtuber
CPIT Ex-Student
Mobilizer
Friend
Submit