Mentor Form

First Name

Middle Name

Last Name

Gender

Date of Birth

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Residential Address

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Others

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Address

Required : 350 characters or fewer. Letters, digits, "-" and "," only

Permanent Address

Same as residential address

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Select District

Select Sub District

Others

Select Village

Others

Address

Required : 350 characters or fewer. Letters, digits, "-" and "," only

Email ID

Mobile Number

Required : 350 characters or fewer. Letters, digits, "-" and "," only

Nomination?

Yes No

Nomination Type

Nominee name

Do you have any Work Experience? Yes No

Year of Experience

Occupation

Name of Organisation

Access to technology

Note :

1. No access to technology : If you have no experience with smartphones, emails, using social media platforms. And Will require some basic training.

2. Mobile & Email operational understanding : If you have some experience with using smart phones and/or computers for emails, social media and work etc. But will not need any basic training.

3. Basic IT understanding : If you regularly use smart phones and/or computer for social media, emails and work etc.

Are you an entrepreneur or industry professional?

Yes No

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Educational Qualification

Areas of interest (sector or industry preference) ↓

Professional Summary

Resume URL

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