Individual Registration

Registration Form

Aadhaar

First Name

Last Name

Guardian name

Contact No

Alt Contact No

Address Line 1

Address Line 2

Landmark

State

District

Pincode

Email Id

Password

Confirm Password

I hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I understand that if the information given by me is proved false/not true, I will have to face the punishment as per the law.

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userid

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