Name of Applicant [*] :
# As in Aadhaar(Do
not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)
Father's Name [*] :
# As in Aadhaar(Do
not use title/salutation e.g. Mr./Sri. etc. before name)
Mother's Name [*] :
# Do
not use title/salutation e.g. Ms./Smt. etc. before name
Date of Birth [*] :
# As in Aadhaar
Gender [*] :
# The gender will be used for verification.
Category [*] :
# The Category will be used for verification.
Enter Code Shown Above [*] :