10kwomen-registration

Personal Information

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First Name *

Middle Name

Last Name *

Date Of Birth (dd/mm/yy) *

City *

State *

Country *

Postal Code *

Residential Address *

Internet Access at Home or Office *

E-Mail *

Mobile No. *

Emergency contact (Office Number preferably) *

How did you find out about us? *

The medium of instruction is English. Please indicate your fluency*

Annual Household Income: [Amount] [Thousand/ Lakhs/ Crore]*Example: For an income of INR 23,20,000, please enter 23 in Amount and select Lakhs from the Drop Down menu

Annual Personal Income from Business: *

Details of Income from other sources: *

Source of Household Income *

Type of Identification *

Identification number *

Number of Household Members *

Number of income earners in the Household *

Educational Information

Education Completed starting with most recent

Degree *

University / School *

Area of Specialization *

Date of Completion *

Location *

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Have you ever attended any other business training/ workshop?*

If yes, please mention the following details:

Training

University / School

Location

Duration

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Have you received any education (degree or non degree) in a developed country? *

How did your business benefit from the training? *

Have you previously participated in the 10,000 Women Program by Goldman Sachs? *

Identity Proof (Aadhar Card/ Driving License/ Passport/ Pan card)

Proof of Ownership (MOA/ AOA/ Partnership Deed/ GST Registration)

Proof of Turnover April 2019- March 2020 (P&L/ Balance Sheet/ Attested Revenue Certificate)

Application Form

Personal Information

Educational Information

Business Information