NAME FATHER'S / SPOUSE'S NAME* GENDER Male Female Transgender DOB* ADDRESS Police Station COUNTRY --Select Country-- India STATE DISTRICT VIDHAN SABHA Pin Code E-MAIL MOBILE UPLOAD PHOTO Upload your photo upto size 50 KB. ID Proof Photo PAN Card Valid Indian Passport Voters Identity Card Driving License Govt. Employee ID card Defence ID Ration Card With Photograph Aadhaar Card ID Proof Number DECLARATION: All the information filled by me is correct, If any information provided by me is wrong, I will be responsible and organisation has right to dismiss me and if necessary legal action can be taken.