MINISTRY OF LABOUR EMPLOYMENT, DGE & T, RDAT (WR)
MODULAR EMPLOYABLE SKILLS (MES)
APPLICATION FOR : Candidate Registration For Training / Testing

(For Office Use Only)

Personal Details

Candidate Name*

Father Name *

Mother Name *

Religion *

Gender *

Male Female

Person with disability *

Yes No

Date of Birth *

Category *

SC OBC ST Open NT

Language Known

Monthly Income in Rupies

Educational Details

General Qualification *

5th 8th 10th 12th

Professional Qualification *

Contact Details

Phone Number *

Telephon No: *

Email Id:

Present Address *

Country State City

Pin Code:

Permanant Address *

Country State City

Pin Code:

MES Course in which admission is sought Details

Sector *

Course/Module *

Details of VIP

Name of vocational Training Provider *

Address *

PAYMENT DETAILS FOR TESTING DEPOSIT / FEE

Payment Type : * Cash Cheque DD IPO

Permanent Address: *

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