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Password

First Name

Middle Name

Last Name

Head of Family

Father Name

Mother Name

Date of Birth

Gender -- Select -- Female Male

Marital Status -- Select -- Married Single

Mobile Number

Address

Profile Pic

School Name

Qualification -- Select -- Graduate Postgraduate School < 5 School >5 School 10 (Matriculation) School 12 (Intermediate)

Occupation -- Select -- Agriculture Labour Poultry

Health Issue -- Select -- Chronic Disease Physically Challenged

Skills Agriculture Labour Poultry

Aadhaar No

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Ration Card No

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Birth Certificate

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Education Certificate

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Training Certificate

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Upload Land Paper

Upload Land Tax Receipt

Upload Khatiyani