Registration Form
Tenant Details
Aadhar Number
*
Check
Registration type :
Student
Employee
Basic Details
Surname
*
First Name
*
Father's Name
*
Date of birth
*
Contact Number
*
Emergency Contact Number
E-mail
*
Parent/Guardian Contact Number
*
Select Caste
*
Select Caste
Address Details
Address
*
State
*
Select State
District
*
Select District
Taluka
*
Select Taluka
Village/City/Town
*
Select Village/City/Town
Pincode
*
Select Pincode
Education/Work Details
Campus
*
Select Campus
Department/Designation
*
Select Department/Designation
Campus Contact
Medium
Select Medium
English
Gujarati
Other Details
Aadhar Front
Aadhar Back
Passport Photo
Signature
Parent/Guardian Signature
Extra Notes
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