Registration

State*
District*
Block*
GP/MC/NP*
Ward no*
Name of Applicant*
Father's Name*
Mother's Name*
Date Of Birth*
Contact Number*
Whatsapp Number*
Email ID*
Aadhaar Number*

Permanent Address

Name of Village / Town*
Post Office*
Police Station*
Pin Code*

Present Address

Name of Village / Town*
Post Office*
Police Station*
Pin Code*

Upload Final Marksheets

Madhyamik/Secendary*
Other Qualification
*
*
*
* File extension must be jpg, jpeg, gif, png, pdf, doc, docx