District Coordinator-cum-Trainer Joining & Onboarding Form

Personal Information

Passport Size Photograph — For ID Card

Upload a recent, clear photo with white background. Used to print your official ID card.

Passport Photo*

Click to upload or drag & drop

JPG or PNG · max 2 MB · plain white background

Full Name*

Father's / Husband's Name*

Date of Birth *(Age 21–60)

Enter as DD/MM/YYYY — e.g. 15/08/1990

Blood Group*

Mobile Number*

10-digit mobile

Emergency Contact*

Family member

E-mail Address*

Correspondence Address*

Emergency contact should be a family member or close relative reachable at all times.

District Selection

Select the district for which you are applying as District Coordinator-cum-Trainer. Only one district per application is allowed.

Select District*

Punjab has 23 districts — select the one you are applying for

Educational Qualifications

Graduation certificate is mandatory. If you have a Post-Graduation certificate, upload it instead — Graduation will not be required in that case. Your BioData / CV / Resume is also mandatory.

Educational Certificates

Diploma in Computer(optional)

Click to upload or drag & drop

Optional · PDF, JPG or PNG · max 5MB

Graduation Certificate **

Click to upload or drag & drop

Required · PDF, JPG or PNG · max 5MB

Post-Graduation Certificate(optional)

Click to upload or drag & drop

Optional · Upload to waive Graduation requirement · max 5MB

BioData / CV / Resume *

BioData / CV / Resume*

Click to upload or drag & drop

Upload your complete biodata, CV or resume. PDF preferred · max 5MB

Financial Information

Your financial information is encrypted and stored securely. Used only for official payment processing.

PAN Details

PAN Number*

Format: ABCDE1234F (5 letters · 4 digits · 1 letter)

PAN Card*

Click to upload or drag & drop

Front side of PAN card · PDF, JPG or PNG · max 5MB

Aadhaar Details

Aadhaar Number*

12-digit Aadhaar number without spaces

Aadhaar Card*

Click to upload or drag & drop

Both sides (front & back) or PDF · max 5MB

Bank Details

Bank Account Number*

IFSC Code*

Format: SBIN0001234 (4 letters · 0 · 6 alphanumeric)

Bank account must be active and in your name. Used for salary and allowance disbursement.

Declaration & Submission

Important: Read the declaration carefully before accepting. By checking, you legally bind yourself to these terms.

Declaration & Undertaking

I hereby declare and affirm that I am not affiliated with, associated with, or a member of any political party or organisation that may conflict with the duties and responsibilities of a District Coordinator-cum-Trainer, and I agree to remain impartial in all official duties.
I further declare that all information furnished by me herein is true, correct, and complete to the best of my knowledge and belief. I understand that providing false or misleading information will result in disciplinary action, including termination of appointment.
I acknowledge that any false, incorrect, or misleading information shall be grounds for immediate cancellation of appointment without prior notice and may result in legal proceedings under the laws of India.

I have read and understood all the above declarations and I hereby accept and agree to all the terms stated above. I confirm that all information provided in this application is true and accurate.

Please accept the declaration above to submit your application

By submitting you confirm that all information provided is accurate and complete.

By submitting, you confirm all information is accurate and complete. False information may result in legal action.