26 Apr, 2024
Home
USER REGISTRATION
Login Details
*
Mandatory
User ID
*
User ID
must contain 6 to 20 characters
. valid characters are a-z, A-Z, 0-9, at sign (@), the underscore (_), the period (.) and the dash (-). Spaces are not permitted.
Password
*
Password Strength:
1 lowercase & 1 uppercase
1 number (0-9)
1 Special Character (!@#$%^&*).
Atleast 8 Character
Confirm Password
*
Password don't match
Role Profile
Role Type (Center/State/District)
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Central Ministry
State Level
District Level
Role
*
---Select---
State
*
districtIds
District
*
districtIds
Personal Details
First Name
*
Middle Name
Last Name
*
Mobile No.
*
Email
*
Office Details
Designation
*
Address Line 1
*
Address Line 2
City
*
Pincode
*
Office Phone
*
Fax
Status
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Inactive
Verification Image Code :
Verification Code:
*
Type the characters you see in the picture above.