Gram Sabha Member Registration Form

Registration Form : Gram Sabha

First Name:

Last Name:

Identity Card

Any ID card Number (Username):

This will be your username.

Note : This will be your Username

Password:

Please type a password.

Confirm Password:

Confirm the password.

Mobile Number

Email ID:

Incharge

Chairperson

Secretary

Document

.doc .docx .pdf .png .jpeg .jpg format only

Profile Picture

.png .jpeg .jpg format only

District

SDLC

Tehsil / Taluka

Gram Panchayat

Village Type

Village

Gram Sabha

FRC