Registration Form for Primary

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Full Name of Applicant as per Aaadhar Card

Gender of Applicant

Relationship with Officer

Blood Group

Date of Birth

Address

City

Country

State

Pincode

Mobile

Alternate Mobile Number

Enter OTP

Submit

Document (Document should be lower than 1MB) Copy of photo ID of PPO/ Canteen Card/ ECHS Card/ Ex Serviceman I-Card/Retired Officers I-Card

I have Read Bye Laws and I agree with them

I have filled the Data Correctly

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