Worker Registration

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For card holders / registered workers

Registered Worker
Registration ID
Registration Date
Handicap/ Disable
Name:
Date of Birth and Age: ()
Sex:
Email:
Phone:
Aadhaar No:
Voter ID No:
Father's Name:
Spouse's Name:
Permanent Address: , , , ,
Present Address:
Constituency:
Marital Status:
Handicap:
Occupation: