Registration

Email*

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Name*

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Father Name*

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Mobile Number*(Enter 10 digit Mobile Number)

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Select State*

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District*

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Select Community*

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Aadhar* info

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Occupation*

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Annual Income*

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Upload Passport Size Photo*(Upload .jpg file only upto 200KB)

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Upload cast Certificate*(Upload .pdf file only upto 5MB)

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Upload Household Income Certificate*(Upload .pdf file only upto 5MB)

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IFSC code* info

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Bank Name*

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Bank Account*

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Account Holder Name*

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Passbook First Page/ Cancelled Cheque * (Upload .pdf file only upto 5MB)

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Name *	Age *	Disablility Status *	Relationship *	Occupation *	Income *

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