Fields marked with an * are required Nomination For *SelfOn Behalf Of A Widow or Single Mother Personal Information of the Widow or Single Mother Is the nominee Widow or Single Mother? *WidowSingle Mother Does the nominee have any disability? *YesNo Email Date of Birth Mobile Is the nominee below poverty line? *YesNo Education Last Attended School Name * Highest Qualification Achieved * Any other skills nominee has acquired? (like computer operation, stitching, sewing, etc.) * References Other Details
