Name

Date of Birth

District Alappuzha Ernakulam Idukki Kannur Kasaragod Kollam Kottayam Kozhikode Malappuram Palakkad Pathanamthitta Thiruvananthapuram Thrissur Wayanad

Address

Email

Phone

Mob No

Blood Group

Name of Relation

Relation

Mobile No.

Educational Qualification

Sector...(Profession) DATA ENTRY/DTP/PHOTOSTAT COMPUTER CAFÉ/ ONLINE SERVICE CSC VLE GRAPHIC DESIGNERS/VIDEO EDITORS COMPUTER HARDWARE AND MOBILE TECHNICIANS SOFTWARE/HARDWARE SALE EXECUTIVES START UPS IT PARK EMPLOYEES SOFTWARE ENGINEERS/ DEVELOPERS COMPUTER ASSISTANTS TEACHING FACULTY BPO/CALL CENTER EXECUTIVES SOCIAL MEDIA & EVENT CO-ORDINATORS

Work as

Experience

Office Address

ESI NO

PF NO

STATE WELFARE NO

MEMBERSHIP TYPE ACTIVE SILENT NORMAL

ANY ADDITIONAL INFORMATION YOU CAN ADD

Photo SELFIE NOT ALLOWED. LESS THAN 1 MB PHOTO

Screenshot Payment Attach LESS THAN 1 MB PHOTO

Signature Is Used For Your Id Card Purpose LESS THAN 500 KB PHOTO

I hereby certify that the details given by me above are true and correct and I confirm that I will follow the Rules and Regulations of the Union