Name of the Returnee (as in the Passport)
Male
Female
Gender
Contact numbers
District in Kerala
Status of family
(This form is intended only for those Non-Resident Keralites returning from the middle of 2008 due to their job related problems abroad)
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Eranakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasargod
N O R K A - R O O T S
Top Floor, Centre Plaza
Vazhuthacaud, Thiruvananthapuram
Phone: 0471-2332416/2332452, Fax: 0471-2326263
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Married
Single
Divorced
Year
Non Resident Keralites returned since October 2008 may register their details
NORKA ID Card Number (if any)
Number of Children
Marital Status
Date of Birth
E_mail
Passport No
(with Pin Code)
Address in Kerala
NRK Returnee Registration Form
They are residing abroad?
They are residing in India?
Educational Qualifications
Select your qualification
Ph.D
M.Phil
CA
CS
MD/MS
MDS
M.Pharm
MBBS
ME/BE
M.Tech/B.Tech
MBA/PGDM
MCA/PGDCA
ML/LLB
M.Ed
M.Sc
M.Com
MA
MSW
MArch/BArch
ICWA
B.Ed
BBA
BCA
BDS
B.Pharm
B.Sc
BGL
BHM
BL/LLB
BVSC
B.Plan
B.Com
BA
Diploma
12th
SSLC
Below SSLC
Other
Technical Qualifications(if any)
Select Technical Qualifications
Diploma in Architeture
Chemical
Civil
Computers
Electrical
Electronics/Telecommunication
Engineering
Export/Import
Graphic/Web Design
Hotel Management
Insurance
Management
Mechanical
Tourism
Visual Arts
NCVT
Fashion Designing/Other Designing
Other
No Technical Qualifications
Country last worked
Job held abroad
Experience & Expertise in job
Employment Category
Select employment category
Technical Professional
Non-Technical Professional
Skilled
Unskilled
Specify job specialty
Select your specialty (if any)
Doctors
Nurses/Healthcare Professionals
Engg. Project Management
IT-Hardware
IT-Software
BioTechnology/Pharmaceuticals/R&D
Finance & Accounts
Banking/Insurance/Financial Services
Education & Academic Research
Call Centre/Operations/Customer Services
Legal/Law
Corporate planning/Strategic Management
HR/IR/PM/T&D
Export/Import
Logistics/Supply Chain Management/Procurement
Marketing
Packaging
Production/Maintenance
Quality/Process Control
Retails Services
Telecom
Travel/Tcketing/Airlines
Hospitality
Entertainment/Media/Journalism
Freelancing/Consulting
Content Development/Editing
Advertising/PR/Events Media Planning
Architecture/Interior Designing
Administrative/Secretarial/Clerical operations
Other
Exp. in years
Select experience in years
Less than One year
1 year
2 years
3 years
4 years
5 years
5-10 years
10-15 years
15-20 years
20-30 years
30-40 years
40-50 years
More than 50 years
Brief description on Exp. (if any)
Last drawn salary in overseas
Address abroad (full address with telephone numbers)
Date of Return to Kerala
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2008
2009
2010
Reason for your return from abroad
Select reason for return from abroad
Denial of employment
Closing of establishment
Termination of employment
Non payment of salary
Poor working condition
Hike in the cost of living in overseas
Family matters
Ill health
Ageing
Other
Your future plan
Select future plan
Seek employment Abroad
Seek employment in India
Self employment
Any other
Remarks (if any)
I hereby declare that the details furnished above are true to the best of my knowledge and belief. If anything stated is found wrong, I will be solely responsible for the same.
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