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REGISTRATION FORM

User_id:*


Note:User Id should be upto 15 characters and not contain any special characters like -,_,#,@,%,!,',=

Password :*


Note: Password must include at least one number & one special character - #,@,%,!

Confirm Password:*

Department Information

Organization type :*

Central Government Department
State Government Department
PSU

Department Name: *


Note: Please enter full name.

Section Name: *


Note: Please enter full name.

Address: *


Note: Please enter complete Official Address.

State:*

City*

Pincode: *

Contact Person Details

Name:*

Designation:*

MobileNo :*

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Enter OTP :*

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AlterMobileNo :

EmailId :*


Note: Please provide official Email_id.

Alternate Email Id :*


Note: Please provide official Email_id.
Approved by
(Head of the Office)

Name:*

Designation:*

MobileNo :*

EmailId :*


Note: Please provide official Email_id. Verification link sent to this email id
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