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Donation Fund Code
*
Donation Fund Code field can`t be empty.
Sponsor ID
*
Sponsor Id field can`t be empty.
Group Selection
*
--Select--
Group A
Group B
Group field can`t be empty.
Name
*
Login ID
*
User ID field can`t be empty.
Mobile
Address
(* As per aadhaar)
Address field can`t be empty.
State
--Select--
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Select State
District
Aadhar No
*
Aadhar field can`t be empty.
Bill No.
*
Bill No. field can`t be empty.
Password
*
Password field can`t be empty.
Password Must By 6 Character Long with Alphanumeric Character
Confirm Password
*
Password field can`t be empty.
I hereby acknowledge that I have read and understood the terms and conditions as provided
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