VLE Prospectus Request Form
Instruction:

   Kindly fill in the required information below and follow the instructions for receiving the VLE Application Form and Brochure


   After submitting the online form below, you will have to send a Demand Draft of Rs. 500/- payable at “Shimla” in favor of “GNG Trading Co. Pvt. Ltd.”


   Once you click the “submit” button at the bottom of this page, you will be prompted to take a printout which you need to attach with your Demand Draft


   The Demand Draft details can be filled later in the printed document at the time of sending your Demand Draft.

*Cumpulsory Field
User Type:*
Name:* Nation:
Occupation State:
Personal Information:
Father's Name:* Date Of Birth:*
Category * Gender*
Marital Status:
Contact Detail:
Address:*
Home Phone: Fill Home Phone with STD No. like 0124-4216550
Mobile:*   Mobile No. must be 10 digit no. and start with 9
E-Mail: Like abc@xyz.com
Your Desired location for CSC:
District*
Block:*
Panchayat:*
Bank Draft Information:
Demand Draft NO:
Bank Name:
Demand Draft Date:
Educational Information:
Highest Degree:* Second Highest Degree:
Institute:*
Institute:
Year Of Passing:* Year Of Passing:
knowledge of computer*
Comment on your computer knowledge:
Other Details
How much you can invest? Please fill in Indian National Rupee
Do you have space for CSC?
How much space you have? Please fill in Square Feet
How will you run your CSC? ie Self,Employee,Contract etc
Any Suggestion Feel free to give any suggestion
Verify Code* Type the characters you see in the picture below
I do hereby declare that all the statements made in the application are true , complete and correct to the best of my knowledge and belief. I understand that in the event of any particular information given above being found false or incorrect , my candidature for the post of Village Label Entrepreneur (VLE)is liable to be rejected or cancelled and in the event of any mis-statement or discrepancy in the particulars being detected after my appointment , my services are liable to be terminated forthwith without any notice to me.

First you choose the desire Panchayat
 
 
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