Mobilization Form

Skilling Project – Student Mobilization Registration Form

Personal Details

1. Full Name of Student *

2. Father's / Mother's / Guardian's Name *

3. Father's / Mother's Contact Number *

4. Father's / Mother's Occupation *

5. Institution Name

6. Student Mobile Number Optional — if not available, guardian's number will be used

7. Date of Birth * Format: DD / MM / YYYY

8. Gender *

♂ Male ♀ Female ⊕ Other

Address & Identity

9. Residential Address *

10. Aadhaar Number Optional — used for identification purposes only

Education & Skill Interests

11. Highest Educational Qualification *

Mobilizer

12. Mobilizer Name / Code *

Enter the name or code of the mobilizer who registered you

Declaration

13. Student Declaration
I hereby declare that all the information provided above is true and correct to the best of my knowledge. I understand that any false information may lead to disqualification from the program. I agree to the above declaration and confirm the accuracy of the information provided.

14. Registration Date Auto-filled with today's date

✅ Registration successful! Thank you. Our team will contact you within 2 working days.

📋 Registration Steps

Fill the Form

Provide accurate personal, educational and contact details.

Team Contact

Our mobilization team will call you within 2 working days.

Skill Assessment

A brief orientation session to identify the best program for you.

Enrollment

Get enrolled in your chosen skill course and start learning!

📚 Skill Courses Offered

✓ Web Development & Coding
✓ Cyber Security Awareness
✓ Digital Marketing
✓ Communication & Spoken English
✓ Graphic Design & Video Editing
✓ Agriculture & Solar Skills

📞 Need Help?

Contact our team directly for any queries about the registration process or course details.

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