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Date of Birth: *

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Aadhar No.: *

Mobile No.: * +91

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Tahsil: *

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PIN:

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Remarks

*I agree to the <b>Terms & Conditions</b> and <b>give my consent</b> to store my Aadhaar number in encrypted format to use various authentication services provided in the PDS application softwares.

*I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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