Registration Form for Home Stay Training

Registration Form for Home Stay Training

This form is issued by the Skill Development & Industrial Training Department, Haryana, for individuals interested in Home Stay Training.

Applicant Details

• Sr. No. (For Office Use Only)
• Name of District:
• Name of the applicant:
• Father's/Husband Name:
• Date of Birth: (as on 01.06.2025)
• Age proof: (Copy to be attached)
• Category: (Gen./BC/SC)
• PPP Id: (Copy to be attached)
• Aadhar card: (Copy to be attached)
• Mobile No.:
• Father's/Guardian's Mobile No.:
• E-mail Id:
• Residential address:
• Photo: (To be attested & Cross Signed)

Bank Details of Applicant (Bank Passbook/cancelled cheque copy to be attached)

• Name of Bank:
• A/c No.:
• IFSC Code:
• Gender: (M/F/T)

Declarations and Requirements

• Registration on MY Bharat Portal: Is the youth registered on the MY Bharat Portal? (Copy to be attached) (Yes/No)
• Training Commitment: Do you agree to complete the Home Stay training program consisting of 154 Hours (Approx. 30 days)? (Yes/No)
• Fitness Certificate: Fitness Certificate copy to be attached and must be attested by a Medical Officer. (Yes/No)

Applicant Signature

• Place:
• Date:
• (Signature of the applicant)

For Office Use Only

The above information is verified by:

• Signature
• Name:
• Designation: (BYCO/JYCO)

Approved by:

• (Signature & Stamp by DYCO)

Eligibility Criteria for Home Stay Training

• Beneficiaries: Youth of Haryana State
• Identification: PPP Id, Aadhar Card.
• Age: 15 to 29 years or as per Ministry of Youth Affairs and Sports, New Delhi.
• Qualifications: Must have passed minimum 10th.
• Additional Requirements:
  • Youth should be registered on the MY Bharat Portal.
  • Youth should be Physically, Medically & Mentally Fit.
  • Youth should have Aptitude for Home Stay Training.