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NSDC TRAINER REGISTRATION FORM

Trainer Details

Name Of Trainer*
(As Per Aadhaar) BINNY VERGHESE

Email Address*
Binnyjacob72@gmail.com
Mobile Number*
8157913543
Personal Information:

Name of the Applicant * :


BINNY VERGHESE
Gender *:
Male
Date of birth *:
23 – 03 – 1972
Languages Known Malayalam, English, Hindi

Religion *:
Christian
Category *:
General
Disability (If Any) :
No
Aadhaar / PAN Information and Photograph Info:

● Aadhaar Number 333769149914


No
● PAN Number
Upload Aadhar copy/Pan copy
File Size up to 5 Mb (Only jpg, png, jpeg,
pdf)
Upload Your Photo * : File Size upto 5 Mb (Only jpg, png, jpeg)

Applicant Type Details

Select Applicant Category * : ● Trainer


● Non Domain Trainer
Contact & Address Details

Mobile number of Applicant * 8157913543

Email address of Applicant * Binnyjacob72@gmail.com

Applicant Address : Madhuramcheril (H) Thrissur road


Kunnamkulam Pin: 680503

Nearby Landmark :
Near Bethany St. Johns EHSS
Pin code * :
680503
State/ Union Territory * :
Kerala
District/ City *:
Thrissur
Tehsil/ Mandal : Kunnamkulam
Parliamentary Alathoor
Constituency :
Education Details

Education Attained *:

MCom

Details of Education *: MCom


1. Highest 12th
2. Minimum
Upload Proof Documents *: Each File Size up to 5 Mb (Only jpg, png,
jpeg, pdf)
(1. Highest Qualification Certificate)
(2. Minimum Qualification Certificate)
Industrial Experience Details

Relevant Sector : Educational Institutes

Total Years of relevant Sector


Experience *:
Year: 1 Months: 0

Details of Experience *: 2016 to 2017 worked in Co-operative


College Kunnamkulam

Details of Industries:
Educational Institute
Upload Proof Documents *: Each File Size up to 5 Mb (Only jpg, png,
jpeg, pdf)
1. Teaching Experience
2. Industrial Experience
Training Experience Details

Relevant Sector : Banking and Finance

Curriculum Vitae / Resume Details

Upload Curriculum Vitae(CV) or Resume *: File Size up to 5 Mb (Only jpg, png, jpeg,
pdf)

Training Requests:

Select Sector: * Banking and Finance

Select Job Role: * Teaching

Preferred Location:

State/ Union Territory: * Kerala

District/ City: Thrissur

Sub-District/ Tehsil:

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