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New User Registration

Personal Details

User Name(In Local Language) *
User Name(In English) *
Mother's Name(In Local Language) *
Mother's Name(In English) *
Father's Name(In Local Language) *
Father's Name(In English) *
Date of Birth *
Gender *
Nationality *
Mobile No. *
+91
Email Address *
UIDAI/Aadhar No. *
Upload Copy of Aadhar
File Type: .pdf, File Size: less than 100 kb  *
Remark *

Office Details

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District *
Tahsil *
Village/Town *
Designation *
Login ID *

Password *
 
Confirm Password *
   
User Photo *
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