Individual Entry Form

Name *

Age *

Location (State) *

Marital Status *

Caste / Community (Optional)

Phone Number *

Email (Optional)

What are the biggest challenges you face in your work? *

Gender discrimination

Lack of career advancement opportunities

Work-life balance difficulties.

Unfair pay or benefits

Sexual harassment or abuse

Lack of safety or security

Lack of access to childcare or eldercare

Limited access to training or education

Any other (please specify)

Please describe in detail some of the specific challenges you mentioned above *

What specific actions would you like the government to take to address these challenges and improve the working conditions for women in your sector? *

Do you have any additional comments or suggestions you would like to share? *

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