Registration Form
Note: Kindly use Internet Explorer(version 7 to 11) or Mozilla Firefox(14 to 47) or Google Chrome(20 to 51) to fill in the Registration Form.
Fill in the details and click on Submit to proceed.Use Mouse to move between fields for entry of data instead of using Tab Key.
Fields marked with*are mandatory.

Kindly enter Pincode registered in Adhar Card.

Click here to login .
*Do you have Aadhar Number:     Yes No
*Personal Details
*Name of the Applicant /आवेदक का नाम
*Applicant's Father name /पिता का नाम
*Other Personal Details
 
*Gender/लिंग    Male/पुरुष
  Female/स्त्री
  Transgender/ट्रांसजेंडर

*Date of Birth/जन्मतिथि


*Mobile No/मोबाइल नंबर *Email ID/ईमेल आईडी
*10th Roll Number/रोल नंबर     
*12th Roll Number/रोल नंबर     

Please enter the letters displayed in the image below.
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Version 12.03.00