1. Select District, Sub-Division , Municipality or Block and GP or Ward from the dropdown list as per your residential jurisdiction.
2. Select SC, ST, or OBC and Caste/Tribe/Community.
3. Enter your Full Name.
4. Enter your Father’s Name.
5. Enter your Mobile Number(Phone Number Should Be Numeric Only).
6. Enter your Email ID.
7. Documents Required(Atleast One).
a. Enter Your Epic No.
b. Enter your Adhar Number(Adhar Number Should Be Numeric Only).
c. I- Select Category from the drop down list.
II- Enter your Khadya sathi No.
8. a. Enter Your Date of Birth.
b. Please enter your Place of Birth(STATE, DISTRICT, POLICE STATION, VILLAGE/CITY).
9. Fill up your Address.
a. Please fill up your Present Address for the last 6 months (C/O, State, District, Police Station, Ward/Gp, Village/Para/House No./Road, Post Office, Pin Code).
b. Please fill up your Permanent Address.If Permanent Address same as Present Address then Click on YES otherwise Click on NO and fill up your Permenant Address.
10. Nationality will be automatically updated as Indian.
11. Select Your Religion.
12. Select Your Gender.
13. Do you have any relative (Paternal side) cast certificate holder? if YES then give details:
a. Fill up Certificate holder's name.
b. Enter Certificate Number.
c. Enter the date of issue of the Certificate.
d. Select relation with the applicant.
e. Select the name of your Issuing Authority.
14. Please enter the details of two (2) local referees.
a. Enter the Name of Referee-I.
b. Enter the Address of Referee-I.
c. Enter the Name of Referee-II.
d. Enter the Address of Referee-II.
e. Select the name of your Issuing Authority.
15. Please fill up Whether the applicant or his family migrated from another State/Country?
If selected NO -> Dont need to fill anything.
If selected YES -> Please fill up (Migration Certificate No, Date of Issue, Country, State, District, Police Station, Village/Ward, Year of Migration).