Biodata-PartI

Registration of Bio-Data Part -I

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* Mandatory Field

1.Name *

2.Director Identification Number (if available)

3.Income Tax PAN *

Pls enter Valid PAN number

4(a). Gender*

4(b). Nationality *

Male

Female

5(a).Fathers's Name *

5(b).Mother's Name *

5(c).Marital Status*

5(d).Spouse Name

Married

Unmarried

6.Date of Birth *

YYYY

(eligibility age 45 to 65 years)

7. Present Position : *

* Present Position

8(a).Present Address *

* Present Address

Pincode*

City*

State *

* Invalid Pincode * pincode

* City

Landline Number ex.(0xx-xxxxxxx)
(0xx-xxxxxxx)

8(b).Permanent Address * Tick if same as Present Address

* Enter Permanent Address

Pincode*

City*

State *

* Invalid Pincode * pincode

* City

8(c).Mobile Number*

* Mobile No. Pls. Enter Valid Mobile No.

8(d).Email *

Plz enter valid Email

Enter the above code here:

Note: * All field are mandatory