Housing Registration

Basic Details

First Name*

Last Name

Guardian Name*

Mobile Number*

Date of Birth*

Aadhar Number*

Gender*

Marital*

Password*
(Please enter at least an UPPERCASE letter, a lowercase letter, a number(1234567890) & a special character !@#$%^&*()?)

Confirm Password*
(Please enter at least an UPPERCASE letter, a lowercase letter, a number(1234567890) & a special character !@#$%^&*()?)

Address

State*

District*

Village *

Pincode *

Social Identification

Social Category*

Community*

Caste *

Upload Documents (Upload pdf/image file only upto 200KB)

Id Proof*

Caste Cerificate/Document*

DNT Certificate*

Self Photo*

I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, my application shall be liable to cancellation / termination without notice or any compensation in lieu thereof.

** Registration does not guarantee scheme benefits; eligibility will be verified

** For DNT applicats without a separate certificate, a caste certificate is acceptable

Housing Registration

Basic Details

Address

Social Identification

Upload Documents (Upload pdf/image file only upto 200KB)

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