FORM FOR STATE SELF EMPLOYMENT SCHEME
APPLICATION FORM FOR STATE SELF EMPLOYMENT SCHEME
2. Sex (Male/Female)________________________________________________
3. Particulars of Father/Husband
j. Permanent address (Where residing for the last more than three years __________________________________________________________________
4. Particulars of applicant
a) Permanent Address____________________________________________________
c) Post Office_____________________________________________________________
f) Address for corresponding_____________________________________________
g) Date of Birth_________________________________________________________
h) Academic and technical qualification
i) Experience in the trade selected for self-employment.
j) Specific training received (give details of training, duration, name of institution)
k) What have you been doing after passing the last examination.
a) Service ________Govt./Govt. Undertaking Yes/No.
b) Business/ Agriculture Yes/No.
c) Self-employment Yes/No.
d) Service in Private Establishment Yes/No.
l) Present employment status Employed/Unemployed.
m) Whether registered with Employment Exchange.
n) Whether a member of Scheduled Cast/Scheduled Tribe/OBC(please specify)
5. Type of Activity proposed to be undertake_______________________________
6. Previous experience_________________________________________________
7. Place where the activity is to be undertaken.______________________________
8. Whether Premises available Yes/No.
i) If Yes, State the specific arrangement made as under:-
9. Whether construction of premises is a
part of the project Yes/No.
I certify that
the information furnished by me is correct and I have not so far made
any agreements for financing the
Signature of the Applicant.
Photostat attested copy of:
i. Date of Birth Certificate
ii. Qualification Certificate
iii. State Subject
iv. 1st Page of Ration Card
v. Identification Certificate as prescribed by the Deptt.(Original)
vi. Un-employment Certificate from a Gazetted Office
Affidavit as prescribed by the Deptt.(Original).
CERTIFICATE ABOUT UNEMPLOYMENT OF THE CANDIDATE TO BE ISSUED BY A GAZETTED OFFICER.
Certified that Miss/Mrs./
Sig. Of the Gazetted Officer,
IDENTIFICATION CERTIFICATE FROM A GAZETTED OFFICER
I certify that Mr./Miss/Mrs._______________________Son, Daughter, Wife
Sig. of the Gazetted Officer.
I, _____________________________________________S/o, D/o, W/o ________________________________________________________
R/o. _________________________ do hereby declare on oath as under:
1. That I am an Unemployed.
2. That I will muster 5% of the cost of the project plus the amount of the total
shortfall after deduction of the amount of subsidy.
That I have not drawn any loan/assistance under
any scheme either of the State or Central Govt. and I
4. That I am permanent resident of J&K State.
5. That I shall abide by all the rules framed under the J&K S.S.E.S. for Educated Unemployed Youth.
6. That I shall submit progress report to the concerned authorities if required.
That the Govt. representative from the bank,
representative of RBI or any other agency as authorized by
the above contents of this affidavit are true and correct to the best of my
Photostat attested copy of:-
a. Date of Birth Certificate
b. Qualification Certificate
c. State Subject
d. 1st Page of Ration Card
e. Identification Certificate as prescribed by the Deptt. (Original)
f. Un-employment Certificate from a Gazetted Officer
g. Affidavit as prescribed by the Deptt.(Original).