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Personal Details
User Name(In Local Language)
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User Name(In English)
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Mother's Name(In Local Language)
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Mother's Name(In English)
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Father's Name(In Local Language)
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Father's Name(In English)
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Date of Birth
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Gender
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--Select--
MALE
FEMALE
TRANSGENDER
Nationality
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--Select--
Indian
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Mobile No.
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+91
Email Address
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UID
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Upload Copy of Aadhar
File Type: .pdf, File Size: less than 100 kb
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Remark
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Office Details
State
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Dadra and Nagar Haveli and Daman and Diu
District
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--Select--
Dadra Nagar Haveli[496]
DAMAN[495]
DIU[494]
Tahsil
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Village/Town
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Designation
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--Select--
AFSO/ARO Office
DEO
Inspector
CSC
Login ID
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Password
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Confirm Password
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User Photo
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