Rural & Agri Systems Research & Consulting Services Pvt.Ltd.
Dedicated to the rural cause

ENROLLMENT FORM

Personal Identification

Name:

Father's Name:

Sex:Male Female

Height(feet/inches):

Weight(Kgs):

Date Of Birth(dd-mm-yy):

age:



Educational Qualification & Vocational Training

Highest Educational Qualification:
Nil
upto Vth
VI-IX
Matric
SSC/inter
Graduate
Post-Graduate and above

Other Vocational Training:ITI Certificate Other No Training


Social Class

Social Class:SC ST OBC Other

Whether MinorityYes No

Whether BPL:Yes No


Domicile & Address Details

State:

District:

Tehsil/Block No:

Village:

Mailing Address:

Mobile No:

Telephone No:

e-mail ID:



Personal Preferences

Whether willing to migrate Y/N:Yes No

Personal Preferences For Career(Choose Any 3):