Applicant Details

Name of the Migrant Worker *

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Father’s/ Husband’s Name *

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E-Mail

Mobile Number *

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Sex *

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District *

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Area Type *

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Block *

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Municipality *

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GP Name / Ward No. *

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Residential Address *

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Date of Birth *

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Age *

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Identity Proof *

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Identity Number *

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Qualification, Experience and Job Details

General Educational Qualification *

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Technical Qualification: *

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Previous Experience *

Name of the State where he was working *

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Whether Skilled/ Unskilled *

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Name of Work/ Service *

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Other Work / Service *

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Last Monthly Income/ Salary (in Rupees) *

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Years of Experience *

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Job Expectation

Salary Expectation (Monthly in Rupees)

Section

District Text

Block Text

Name of the State where he was working Text