Beneficiary Registration Form

Please fill in your details accurately. Fields marked * are required. Your information is kept confidential and used only for trust records.

01 Personal Details

Full Name *

Native Place *

Email Address *

Phone Number *

02 Educational & Family Details

Highest Education *

Father's / Mother's Occupation *

Family Annual Income *

03 Document Upload

Aadhar Card: upload as a single PDF (max 10 MB). Passport Photo: JPG or PNG (max 5 MB).

Aadhar Card (PDF) *

Tap to upload Aadhar card (PDF)

Passport Size Photo *

Tap to upload photo

04 Course Selection

Select Course *

Software Skill Development Training Course
Montessori Teacher Training / Health Science Course

I confirm that the details provided above are true and correct to the best of my knowledge.