Enter your Membership details
Note: In case you are unable to fill the form, please follow the instructions given below.
  First Name * :
If you do not find surname in list please select other and enter surname in the text box given below:
  Father Name :
  Surname * :
  User Name * :
(e.g spring)
  Password * :
( Max 4 - 16 characters)
  Re-Enter Password * :
 
  Date Of Birth * :
(e.g "MM/DD/YYYY' )
  Email Address :
 
  Village:
forgot your Password ?
 
 

Please fill in proper details for further reference.

Instructions:
1. If you get the message "user already exist", enter any singal number or two after your name in first field.
2. If you get successfull login, Use that username & password to fill the detail form.
3. Make sure that you get the code no. at the end. i.e your registration number. Otherwise your form will not be
considered valid.
3. Call at 2891 44 95 in case of any query.