One Time Registration * denotes mandatory field
To download blank registration form click here
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Personal Details
 
First Name
Middle Name (Optional)
Last Name
  (as recorded in Madhyamik or equivalent examination certificate)
 
State
District
Place
 
First Name
Middle Name (Optional)
Last Name
 
First Name
Middle Name (Optional)
Maiden Surname
Contact Details
Permanent Address
Qualification Details
Security Question
Please remember security answers provided below, will be asked if you forget your password later
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