Mahila Saarthi Training Application Form

Name

Father/Husband Name

Date of Birth

Mobile Number

Email

Full Address

District

State

Delhi Uttar Pradesh Uttarakhand Gujrat

Pin Code

Height

140 cm (4'7") 142 cm (4'8") 144 cm (4'9") 146 cm (4'10") 148 cm (4'10") 150 cm (4'11") 152 cm (5'0") 154 cm (5'1") 156 cm (5'1") 158 cm (5'2") 160 cm (5'3") 162 cm (5'4") 164 cm (5'4") 166 cm (5'5") 168 cm (5'6") 170 cm (5'7") 172 cm (5'8") 174 cm (5'9") 176 cm (5'9") 178 cm (5'10") 180 cm (5'11")

Weight (Kg)

Driving License

Yes No Not Available but Interested to Avail

Require Training

At Home On Nearest Driving School

Do You have Vehicle

2W Electric 2W Petrol/CNG 3W Electric 3W Petrol/CNG 4W Electric 4W Petrol/CNG Not Available

Request for Training

Two Wheeler

I agree to the declaration

I confirm that the information provided by me is true and correct to the best of my knowledge. I voluntarily agree to participate in the Mahila Saarthi program and will follow all safety guidelines and instructions. I understand that participation is subject to eligibility and does not guarantee employment. I consent to the use of my information for program-related purposes only.

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