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First Name
*
Middle Name
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*
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*
Blood Group
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Gender
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State
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Register As
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Occupation Details
Occupation
*
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Aadhar Card Number
*
Residential Address
*
State
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Select State
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(School/ College/ Office/ Business) Name
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(School/ College/ Office/Business) Address
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Occupation Pincode
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Standard in Studying
Roll No
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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
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