26 Apr, 2024
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) *
Role *
State *
District *
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 *
Verification Image Code :
Verification Code: *
  Type the characters you see in the picture above.
 
 
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