•
Name (as per SSLC Certificate)* – Enter your full name
exactly as in your SSLC certificate.
•
Mobile Number* – Provide
a valid and active mobile number.
•
Email ID* – Enter a
valid email address for communication.
•
Date of Birth (DOB)* –
Enter your date of birth in
YYYY-MM-DD format.
•
Aadhar Number* – Enter
your 12-digit Aadhaar number
correctly.
•
WhatsApp Number* –
Provide a WhatsApp-enabled number (can
be the same as your mobile number).
•
Gender* – Select your
gender from the given options.
•
Are you a person with disability (PwD)* – Select Yes or No
as applicable.
•
Blood Group* – Select
your blood group.
•
Religion* – Select your
religion.
•
Caste* – Enter your
caste exactly as mentioned in your
community certificate.
•
Community* – Select your
community and
ensure it matches your community certificate.
•
Mother Tongue* – Select
your native language.
•
Disease (if any) – Mention any chronic illness or medical
condition.
•
Identification Mark – 1*
– Enter one visible identification
mark.
•
Identification Mark – 2*
– Enter another visible
identification mark.
•
Nationality* – Select
your nationality.
•
Passport Number – Optional for Indian nationals; Mandatory
for Foreign nationals.
•
Passport Expiry Date – Optional for Indian nationals;
Mandatory for Foreign nationals (must match passport details).
•
Visa Type – Mandatory for Foreign nationals.
•
Visa Number – Mandatory for Foreign nationals.
•
Visa Issuing Country – Mandatory for Foreign nationals.
•
Visa Issue Date – Mandatory for Foreign nationals.
•
Visa Expiry Date – Mandatory for Foreign nationals.
•
Visa Status – Mandatory for Foreign nationals.
•
Entry Type – Mandatory for Foreign nationals.
•
Place of Issue – Mandatory for Foreign nationals.
•
Visa Category/Subclass – Mandatory for Foreign nationals.
•
Employer / Institution – Mandatory for Foreign nationals.
•
Residence Permit Number – Mandatory for Foreign nationals.