* indicates mandatory field
Registration Your Self
1. Applicant Name : *
2. Applicant Father Name : *
3. State :
*
4. District :
*
5. E-Mail ID : *
6. Mobile Number : *   
7. Enter OTP : *
N.B: OTP will be sent to above Mobile number and Email Id.
8. Applicant Address : *
(Maximum Characters left: 200 )
9. PinCode : *
10. Password : *
11. Confirm Password : *
12. Applicant Identity Proof   
13. Id Proof  Number : *
14. Upload Id Proof : *   .pdf file ,should be less than 500kB