Registration Form

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Name

First

Last

Gender

Email Address

Contact Number

Address

Education

Education (in detail)

Institution's Name

Year of Completion

Locational Preference

Are you from Economically Weaker Section (EWS)?

Is your family income less than 5 lacs per annum? If yes, you come under ews scheme of things.

Do you have a family income certificate to prove your income is less than 5 lacs per annum?

You have to get the income certificate from a Thasildhar in your region.

Select your disability

Disability Percentage

Selected Value: 0

Describe your disability in detail

Do you have a disability certificate?