Project Kaushal – School Orientation Program Admission Form Name of the Applicant Father’s Name/Guardian Name Mobile Class / Education Qualification —Please choose an option—456789101112Pursuing CollegeGraduatePost GraduateNot Studying in School School / College / Institute Name Date Of Birth Gender —Please choose an option—MaleFemaleTransgender Mode of Learning —Please choose an option—LaptopDesktop (PC)Smart PhoneTablet Monthly Income of the family (in Rs.) Your email How did you get to know about Navjyoti Courses? —Please choose an option—Word of mouth (Friends/Family/Neighbours)InternetSocial MediaPamphlets/BannerVisit to CollegeDoor to Door VisitEnrollment CampNavjyoti India Foundation StaffIndia Vision Foundation StaffSMSRadioNewspaperKaushal MelaCall CenterRozgar MelaEvent/Workshop House no. Town / Village State / राज्य —Please choose an option—DelhiJammu & KashmirAndhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMehalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarkhandWest Bengal Student’s Aadhar Number Partner name —Please choose an option—Aditi Mahavidyalya, BawanaNarvodaya Polytechnic, Budh ViharShreeji Welfare Foundation, BadarpurAnuragini, Prem NagarThe Bright Way, QutubhgarhTakniki Shiksha Vidhaan Council, SamaypurAzad Yuva Kendra, Jwala puriJijeevisha the humanity, Seema PuriAkram, PatoudiNavjyoti India FoundationNone of the above Course Name —Please choose an option—Tablet for KidsDigital LiteracyCoding Δ