YEP 15 Registration Form
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Full Name *
Email address *
Mobile Number (Only the 10 digit number if you are in India. Do not add + or 0 or 91, etc. If you are residing outside India, please add the country code before the number) *
How did you come to know about the Youth Empowerment program?
(The person who sent you the poster or spoke to you about it, the event that you attended where you came to know about Youth Empowerment program, Social media - Instagram, Facebook, WhatsApp forward, etc.) *
Date of Birth (First the date, then the month and finally, the year) *
MM
/
DD
/
YYYY
Age (Write in numbers only) *
The age criteria is 28 yrs. & below. Exceptions may be considered on rare cases. 
Gender *
Are you active or reasonably active on social media? Click the major media platforms that you use. *
Required
Give your Social media handle(s) address(es) if you are on social media. 
Eg.@ChinmayaShivam on insta; 
If you are not on any Social Media, type 'nil' and proceed *
Please enter your Postal Address -
Start with House no. & Street name here *
Area / Locality *
City *
Pincode *
State *
Country *
Educational Qualification (Completed) *
Name of the Educational Institution (University, College, Institute, etc.) *
Education (Pursuing now). Please write 'Nil' you are not pursuing any formal study.  *
Name of the Educational Institution (University, College, Institute, etc.). If you are not studying at present, write Nil.
 *
Current Occupation (Business / Full time job / business) - Give details of your occupation. If not working, write "Not employed at the moment". *
Name of the Business you are doing, or the organisation that you are working in. If you are not working or running a business, write 'Nil' *
Your hobbies & other interests - Arts, Sports, Literature, Theatre, Travel, etc. 
If you have no hobbies / other interests, please write 'Nil' and proceed to the next question *
Languages that you can read/write and speak *
Languages that you can only speak, but cannot read or write *
Please write any queries you have. If you have no queries, write "No Queries" and submit.   *
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