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First Name
*
Middle Name
Surname
*
Date of Birth
*
Blood Group
*
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O-
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AB-
Gender
*
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Other
Email Id
*
Phone No
*
Country
*
Select Country
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State
*
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District
*
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Register As
*
Select Register Type
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Height (in cms)
*
Weight (in Kg)
*
Occupation Details
Occupation
*
Select Occupation
Student
Service
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Aadhar Card Number
*
Residential Address
*
State
*
Select State
Maharashtra
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District
*
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Pincode
*
(School/ College/ Office/ Business) Name
*
(School/ College/ Office/Business) Address
*
Occupation Pincode
*
Standard in Studying
Roll No
Division
Documents
Identity Proof (Aadhar Card, Pan Card, Driving License, Passport)
*
Member Passport Size Photograph
*
only jpg file allowed
Birth Date Proof (Bonafide, Aadhar Card, Pan Card, Passport)
*
Address Proof (Aadhar Card, Passport, Electricity Bill, Water Bill)
*
Password
*