SMJD - Shri Mahavir Ji Dharmarth Gumshuda Society

How To Fill The Form

Applicants Name / आवेदक का नाम *

Father's Name / पिता का नाम *

Mother's Name / माता का नाम

Date of Birth/जन्म दिनांक *

Phone No/दूरभाष

Mobile Number/मोबाइल नम्बर *

Email Address/ईमेल पता

Password

Gender/लिंग *

Male

Female

Marital Status / वैवाहिक स्थति *

Religion/धर्म*

Category/वर्ग*

Handicapped/दिव्यांग

Yes/हां

No/नहीं

Address / पता *

State / राज्य *

District / जिला

Police Station *

Pin Code / पिन कोड *

Bank Name

IFSC CODE

Account No

Type Of Employement*

Yearly Income*

Identification Details*

Type Of Identity*

Card Number /कार्ड संख्या *

Upload Photo *

Aadhar Card *

Pan Card *

Shop Photo

Certificate