BRLPS-PRP & BAP Job Application form Ver 2

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Education Qualificaiton*

	Qualification/Degree	Institution Name	University/Board	Passing out Year	% Marks
Graduation
Post Graduation

Proficiency in Information Technology*

Language Proficiency*

	Read	Write	Speak
English
Hindi

Details of Experience with Jeevika*

	Position/Designation	From Date(dd-mm-yyyy)	To Date (dd-mm-yyyy)	Total Months of Experience	No. of SHG handled	No. of VO handled	No. of CLF handled
1
2

Training Expertise/Training Imparted*

Other experience of handling Producer Groups/livelihoods initiatives (Please give details in 100 words)
Upload your latest passport size photograph*

Upload a File
File size should be less than 1 MB Cancelof
Declaration
Selection method, Terms of engagement and mandatory conditions:

The candidate would be selected through defined process. Selected candidates may be deployed at any of the SRLMs. All selected candidates will have to purchase laptop and internet data card for reporting and other necessary work. An Interest free loan may be provided by BRLPS or concerned SRLM.

I do hereby declare that above information is true to the best of my knowledge and belief. In case of any discrepancies my candidature may be cancelled. I herby accept all the above terms and conditions.
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Application Form - Jeevika - BRLPS