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Applicant Registration
Name of the Applicant
*
Enter Name
Father's/Husband's Name
*
Enter Father/Husbnd Name
Mobile No
*
Enter Mobile No
Alternative Mobile No
Email
*
Enter Email
Enter Valid Email
Alternative Email
Enter Valid Email
Category
*
Select Category
UR
ST
SC
OBC(NCL)
Gender
*
Select Gender
Male
Female
Whether you are Person with Disabilties ?
*
Select PWD Status
Yes
No
Whether you are Ex Serviceman ?
*
Select Ex Serviceman Status
Yes
No
DOB
(DD-MM-YYYY) *
Enter DOB
Password
*
Enter Password
Present Address
*
Enter Present Address
Permanent Address
*
Enter Permanent Address
Present PIN
*
Enter Present PIN
Permanent PIN
*
Enter Permanent PIN
