PBSSD Employer Home

Registration No./Trainee Id

Name*

Son of/Daughter of*

House No./Area/GP/Ward*

Pincode*

District*

Block*

DOB *

Nationality*

Gender *

Aadhar No.*

Vertical*

Qualification*

Institute / Training center Name*

Name of Institute*

Course Name*

Enter Passing Year*

Maritial Status *

Mobile No.*

No. of dependents in family (Adult)*

No. of dependents in family (Children)*

Whether Working *

Name of Organization*

Address of Organization*

Monthly Salary*

1.1) Which of the following best describes your current employment status

a) Employed full-time
b) Employed part-time
c) Unemployed
d) Self-employed / business owner

1.2) Are you satisfied with your current employment situation?

a) Yes, very satisfied
b) Somewhat satisfied
c) Neutral
d) Dissatisfied

1.3) How would you rate your level of job security in your current employment?

a) Very secure
b) Somewhat secure
c) Neutral
d) Insecure

1.4) Problems faced at workplace (You may tick more than one):

a) There is no Problem
b) Away from home
c) Job not related to acquired skill
d) Do not like to take order
e) Low Salary

2 ) Do you want to be an entrepreneur?

a) Yes
b) No

2 ) Why you want to be an entrepreneur (You may ✔ more than one)

a) Can work on acquired skill
b) Have learnt the job and understood business opportunities
c) Make existing business more productive and sustainable

3) Have you identified any gaps in the market for your product?

a) Yes
b) No

4) Have you studied the market to find the gap?

a) Yes
b) No

5) Are these gaps related to (You may ✔ more than one)

a) Potential customer segments and their needs
b) Technologies
c) Existing products
d) There is no gap but there is scope for new business

6) Do you need any support in developing a business plan?

a) Yes
b) No

7) Have you ever participated in any entrepreneurial training or workshops before?

a) Yes
b) No

8) How familiar are you with legal and regulatory requirements for starting a business?

a) Good understanding
b) I have some knowledge but would like to learn more
c) I am aware that there are legal requirements but don’t know the specifics
d) I have no knowledge or understanding

9) What specific skills or knowledge do you think you need to enhance your entrepreneurial capabilities? (You may ✔ more than one)

a) Financial management and accounting
b) Marketing and sales strategies
c) Leadership and team management
d) All of the above

10) What kind of support or resources do you believe you need for your entrepreneurial journey?

a) Financial resources and funding
b) Access to a strong network and connections
c) Mentorship and guidance

11) Are you comfortable with the possibility of failure and learning from it?

a) Yes, I see failure as a learning opportunity
b) I am somewhat comfortable, but it still worries me
c) No, failure is not an option for me

12) What is your primary source of funding for your business?

a) Personal savings or investment
b) Loans or credits from financial institutions/SHGs
c) Money Lenders
d) Friend/ family

13) What is your long term vision?

a) Becoming a successful entrepreneur and a mentor
b) Building a sustainable business
c) Close the business if I get a good job
d) Close the business if I get into higher study

Utkarsh Bangla

Paschim Banga Society for Skill Development (PBSSD)

An Initiative by Department of Technical Education, Training and Skill Development

Government of West Bengal

Entrepreneurship Application

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