Karunaii Employment Service:
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Human Resource:
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First name
*
:
Last name
*
:
Date of Birth
*
:
Age:
Sex:
Select a Value
male
Female
Email:
Father’s name
*
:
Father’s age:
Father’s occupation
*
Father’s income:
Mother’s name
*
:
Address:
City
*
:
Pincode:
Phone
*
:
School attended
*
:
Level of intellectual functioning
*
:
Select a Value
Mild
Moderate
Severe
Profound
Working skills:
Associated condition:
Problem behaviors:
Drugs taken
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