Apply for Soochnapreneur – Soochnapreneur – Digital Entrepreneurship Program for the Villages of India, DEF

Name*

Date of Birth (D.O.B)*

Gender

Male

Female

Transgender

Father/Husband Name

Social Category*

General

Scheduled Caste (SC)

Scheduled Tribe (ST)

Minority

Other Backward Class (OBC)

Nomadic Tribe (NT)

Economic Status*

Above Poverty Line (APL)

Below Poverty Line (BPL)

Antyodaya

Education*

Primary

10th Pass

12th Pass

Graduate

Post Graduate

Languages Known (Hindi)*

Read

Write

Speak

Languages Known (English)

Read

Write

Speak

Any Other

Specify here

Read

Write

Speak

Marital Status

Married

Unmarried

Widow

Separated

Address

Area Type

Urban

Rural

Semi-Urban

Semi-Rural

Village/Street Name

Panchayat

Block/Ward No

District

State

Zip

Contact Number*

Email Address (If Any)

Strengths (Any Three)

Hobbies (Any Three)

Knowledge of Digital Tools*

Basic Computer

Tablet

Android Mobile Phone

Others

Don’t know any thing

Any Certification (Please Specify)

If you have knowledge of computer then please mention your computer Literacy skills below*

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Emailing

Internet

Work Experience

Yes (If Yes, Please fill the below details)

No

Work Experience

Why do you want to be a SoochnaPreneur (Not more than 100 words)

Any other details you want to specify?

Please upload your passport size photo*

Upload

Please upload one of your ID proof*

Upload