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RPL Pre Screening Form - Automotive

The document is a questionnaire for candidates applying to AISECT SKILLS MISSION. It collects personal information such as name, date of birth, address, contact details, education history, employment details, bank account information, preferred job roles and batch start date. The candidate declares that the information provided is true and correct and that they have not received rewards from other government programs.

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Vipul Sharma
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0% found this document useful (0 votes)
639 views9 pages

RPL Pre Screening Form - Automotive

The document is a questionnaire for candidates applying to AISECT SKILLS MISSION. It collects personal information such as name, date of birth, address, contact details, education history, employment details, bank account information, preferred job roles and batch start date. The candidate declares that the information provided is true and correct and that they have not received rewards from other government programs.

Uploaded by

Vipul Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Candidate Information Form
  • Automotive Knowledge Assessment
  • Engine and Workplace Safety Knowledge
  • Vehicle and Process Engineering Questions
  • Marketing and Customer Evaluation
  • Consumer and Employee Relations
  • Team Dynamics and Customer Service
  • Sales Strategy and Welding Basics
  • Welding Equipment and Tools

AISECT SKILLS MISSION – MOBILIZATION/ QUESTIONNAIRE FORM

Date: ……………………. Location: ………………………………………………………


1. Name of Candidate : ……………………………………………………………………………………………………………… Paste your
2. Guardian’s Name : ……………………………………………………………………………………………………………… recent
3. Date of Birth (dd/mm/yyyy) : Gender : M F Other photograp
4. Caste : Gen OBC SC ST h

5. Religion : Hindu Muslim Christian Sikh Buddhist Jews Other


6. Physically Challenged : Yes No If yes, please specify …………………………………………………………
7. Mobile No : E-Mail Id: ………………………………………………………………..
8. Address : ……………………………………………………………………………………………………………………………………….
City:…………………………..District…………………………State…….……………….Pin Code:…………….
9. Government Id Proof Type* : Voter ID/Aadhar ID/Driving License ID/Passport Id
Government Id proof Id number*: ……………………………………………………………………………………………………………………
10. Educational Qualification : 5th to 8th 9th to 10th 11th to 12th ITI Polytechnic
Diploma Graduate Post Graduate Any other

11. Course Detail : Degree…………….Stream …………… Division/Grade …………... Passing year……/…../…….


Board/University …………………………………….. Course Type: Regular Part-time
12. Are you already employed/self employed? : Yes No
If yes then please provide following details:
a. Name of firm/organization : ……………………………………………………..........................................
b. Location of work : …………………………………………………………………………………………….
c. Current Designation : …………………………………………………………………………………………….
d. Current monthly salary : …………………………… e. Total Experience: ……………………………
13. Name as in bank pass book : ………………………………………………………………………………………………………………..
14. Bank name : ………………………………………………………………………………………………………………..
15. Bank account number : ………………………………………………………………………………………………………………..
16. IFSC code : ………………………………………………………………………………………………………………..
17. PAN number : ………………………………………………………………………………………………………………..
18. Preferred Sector : ………………………………………………………………………………………………………………………
19. Job Role 1: ………………………………………………………….. Job role 2: ………………………………………………………………………
20. Preferred Batch start date: ……/…../…….
Declaration: I hereby declare that, all the information, mentioned above, furnished by me are true & correct. If anything found wrong, my
registration is liable to cancel without refunding any amount. I also declare that have not received any reward amount, earlier, from any
government sponsored program. My registration can be rejected of cancelled also, if this project is withdrawn / postpone / cancelled by the
approving authority

Signature of the Candidate Signature of the Coordinator


Please select correct answers for following questions
(Leave blank if not applicable)

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