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Name (In English as in Aadhaar): *

Last Name:

Date of Birth: *

Gender: *

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Password: *

Confirm Password: *

Validatiton mode: *

Aadhar No.: *

Mobile No.: * +91

Email Address: *

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District: *

Tahsil: *

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Address 1: *

Address 2:

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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