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Registration Step 1

Personal Information

Personal & Family Information

Expections

Personal Information

First Name* :

Please put first name

Middle Name* :

Please put middle name

Last Name* :

Please put last name

Gender* :

Select Gender

Date of Birth* :

Please Insert DOB*

Age* :

Please enter age Enter Numbers only

Marital Status* :

Select Maritial Status

Sub Caste* :

Select Sub Caste

Caste* :

Select Caste

Citizenship* :

Contact Information

Profile Created by* :

Please Select Profile Created by

Address*:

Please Select Address

Country* :

Please Select Country*

State* :

Please Select State

City* :

Please Select State*

Pincode :

Mobile Number 1* :

(Mobile No. for SMS alert) Please Insert Mobile Number

Mobile Number 2 * :

Please Insert Mobile Number 2

Mobile Number 3 :

(WhatsApp No for office use only) Please Insert Mobile Number

Email ID* :

Please Insert Email-Id Please Enter Proper Email-Id

Educational Information

Education* :

Please Select Education

Education in detail * :

Please enter Education in detail (Help:Name your exact degree and additional education in minimum words))

Professional / Occupational

Working Field* :

Please Select Working Place

Occupation* :

Please Select Occupation

Occupation in Detail :

Country* :

Please Select Country

State* :

Please Select State

City* :

Please Select City

Annual Income :

(Please Insert Numbers only,Do not use special character like comma,quaotaion mark etc) (Please put 0 , if you are not working) Value must be an numeric

Reference Information

Reference By* :

Please Select Refernce

( Please write authentic information , Writing fake information subject to Legal Action. )