Your Registration Details
| Name |
|
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|
| Father's Name |
|
| Mother's Name |
|
| Address |
|
| Nearest Health Centre |
|
| District |
| Category |
|
| Tehsil |
| Category Certificate No |
|
| Village |
| Bank Name |
|
| Pin Code |
| Bank Account No |
|
| Date of Birth |
| Identification Mark 1 |
|
| Birth Certificate No |
| Identification Mark 2 |
|