New User Registration

Language:

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 *
UID *
 
Upload Copy of Aadhar
File Type: .pdf, File Size: less than 100 kb  *
Remark *

Office Details

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

Password *
Confirm Password *
User Photo *
File Type: jpeg/png/jpg, File Size: less than 12 kb  *

 I agree to the Terms & Conditions and give my consent to store my Aadhaar number in encrypted format in a secured manner as per the guidelines issued by UIDAI to use various authentication services provided in the PDS application softwares.

 I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

Note: * Mandatory fields


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