Beneficiary Name *

Age *

Home Address *

State *

Dist *

City *

Primary phone Num *

Alternate Num

Beneficiary Picture

Marital Status *

Husband/ Parent Name *

Husband/Parent Occupation *

Yearly Family Income in Rs *

Total number of people in the Family *

Languages Known *

Education *

Beneficiary Occupation /Profession (if applicable)

No of years of work Experience (if applicable)

Impact of Covid on the family *

Which training program are u interested in? *

Do you have prior Experience in the Interested program *

Training program that is best suited for this candidate( be filled by SHE team or training partner)

Any Comments

Name of the Training Agency / Implementation Partner who will be conducting the training *

If Training Agency / Implementation Partner selected is "Other Partners" , mention the name( if applicable)

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

By providing your data in this form, you confirm that you are doing so voluntarily. You agree to the collection, use, processing, and sharing of your personal data by our organization. You acknowledge that you have been informed of the purpose of the project and understand that your data will be handled in accordance with ethical standards and relevant privacy laws.

Furthermore, you acknowledge that your data may be shared with third parties only when

necessary for the project's purposes and in compliance with applicable laws and regulations.

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

SHE-CAF Phase-2

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Thanks for getting in touch!

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